Blue Crescent Blue Summit LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BLUE CRESCENT BLUE SUMMIT LLC

Practice address

95 Daniel St
Carteret, NJ 07008-2045

Phone

(917) 584-7173

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zoha Hassan

Title

Ceo

Phone

(917) 584-7173

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1265345375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 DANIEL ST",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082045",
            "telephone_number": "917-584-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 DANIEL ST",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082045",
            "telephone_number": "917-584-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CRESCENT BLUE SUMMIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ZOHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-584-7173"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.