BLUE MEDICAL DIAGNOSTICS EAST – NPI #1134086101
Clinic/Center

BLUE MEDICAL DIAGNOSTICS EAST is an AHC clinic located in NEWARK, NJ. NPPES has assigned the NPI number 1134086101 to BLUE MEDICAL DIAGNOSTICS EAST on January 09, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE MEDICAL DIAGNOSTICS EAST below.

NPI Profile for
BLUE MEDICAL DIAGNOSTICS EAST

NPI Number
1134086101
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE MEDICAL DIAGNOSTICS EAST
Primary location
176B COURT ST
NEWARK, NJ 07103-3820
Phone: (833) 363-3258 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SYVON EVANS
CEO
Phone: (833) 363-3258
Updated
Certification Date
Jan 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)
261QC1500X
- Clinic/Center / Community Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.