BMG NEWARK LLC (NPI# 1811408172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811408172 |
| Entity Type | Organization |
| Organization Name | BMG NEWARK LLC |
| Other Organization Name | BLUE STAR URGENT CARE & WALK-IN MEDICAL CENTER |
| Practice Address |
794 Mount Prospect Ave Fl 2 Newark NJ 07104-3221 |
| Mailing Address |
110 Squire Hill Rd Montclair NJ 07043-2516 |
| Practice Telephone | 9733704000 |
| Practice Fax Number | 9733704040 |
| Mailing Telephone | 9733704000 |
| Mailing Fax Number | 8629040044 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | MR. MAGDY F MAHMOUD (CEO) |
| Authorized Official Telephone | 9733704000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | 25MA08818300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0263273 | 05 |
| Other Name | Type Code |
|---|---|
| Blue Star Urgent Care & Walk-in Medical Center | Doing Business As Name - Organization |
| Brookside Medical Group | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119 Clifford St, #137, Newark, NJ 07105 | 9733704000 | 8629040044 |
| Street Address |
794 MOUNT PROSPECT AVE FL 2 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295250462 | City Medical of New Jersey, PC | Clinic/Center | 609 Broad St, Newark, NJ 07102-4408 | 2017-08-09 |
| 1346792058 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 205 So. Orange Avenue, Suite A-1020, Newark, NJ 07103 | 2016-10-28 |
| 1396913661 | American Current Care of New Jersey Pa | Clinic/Center | 375 Mccarter Highway, Newark, NJ 07114-2562 | 2008-02-20 |
| 1164061867 | Christiana Care Quality Partners | Clinic/Center | 550 S College Ave Ste 115, Newark, DE 19716-1308 | 2019-12-27 |
| 1104280346 | Urgent Care At Home, LLC | Clinic/Center | 1 Innovation Way, Ste. 400, Newark, DE 19711 | 2016-04-13 |
| 1083088702 | Glasgow Medical Center, LLC | Clinic/Center | 550 S College Ave, Suite 115, Newark, DE 19713 | 2015-11-18 |
| 1114325016 | Walk In Urgent Care Inc. | Clinic/Center | 266 S College Ave, Newark, DE 19711-5235 | 2014-12-09 |
| 1750554572 | Abby Medical, LLC | Clinic/Center | 1 Centurian Dr, Suite 106, Newark, DE 19713-2137 | 2008-04-13 |
| 1295904837 | American Current Care of Delaware Pa | Clinic/Center | 4110 Stanton-ogletown Road, Newark, DE 19713-4169 | 2008-02-28 |
| 1922058445 | Glasgow Medical Center LLC | Clinic/Center | 2600 Glasgow Ave, Suite 100, Newark, DE 19702-4777 | 2006-05-12 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.