Organization Active NPI

BMG Newark LLC

Doing business as Blue Star Urgent Care & Walk-in Medical Center

  • Urgent Care Clinic/Center
  • Newark, NJ
National Provider Identifier
1811408172
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BMG NEWARK LLC
Doing business as
Blue Star Urgent Care & Walk-in Medical Center
Practice address
794 Mount Prospect Ave FL 2
Newark, NJ 07104-3221
Phone
(973) 777-0000
NPI assigned
Oct 13, 2017
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Mr. HR Manager
Title
Manager
Phone
(973) 777-0000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X 25MA08818300 NJ

Addresses

Primary practice location

794 Mount Prospect Ave FL 2
Newark, NJ 07104-3221

Mailing address

110 Squire Hill Rd
Montclair, NJ 07043-2516
Phone (973) 370-4000

Other identifiers 1

IdentifierTypeStateIssuer
0263273MedicaidNJ

Other names 1

  • Blue Star Urgent Care & Walk-in Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1811408172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SQUIRE HILL RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432516",
            "telephone_number": "973-370-4000",
            "fax_number": "862-904-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 MOUNT PROSPECT AVE FL 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043221",
            "telephone_number": "973-777-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMG NEWARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MANAGER",
        "authorized_official_first_name": "HR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-777-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08818300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263273",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Star Urgent Care & Walk-in Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.