NPIMap

Organization Active NPI

Blue Star Medical PC

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1326583295
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
241624 Issued in NY
Legal business name
BLUE STAR MEDICAL PC
Practice address
8015 Main St
Unit a
Jamaica, NY 11435-6388
Phone
(718) 510-6861
Fax
(718) 606-0377
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Ervin Kurts, MDNPI 1073618559
Title
Owner
Phone
(718) 510-6861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 241624 NY Primary

Addresses

Primary practice location

8015 Main St
Unit a
Jamaica, NY 11435-6388

Mailing address

6514 108TH St
Apartment 1C
Forest Hills, NY 11375-1856
Phone (718) 510-6861

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1326583295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 108TH ST",
            "address_2": "APARTMENT 1C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751856",
            "telephone_number": "718-510-6861",
            "fax_number": "718-606-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 MAIN ST",
            "address_2": "UNIT A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114356388",
            "telephone_number": "718-510-6861",
            "fax_number": "718-606-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "KURTS",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-510-6861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.