Elite Premier Medical Care Plus LLC.
Family Medicine in Fair Lawn, New Jersey
1205531688- Practice location
- 15-01 Broadway, Fair Lawn, NJ 07410-6003
- Phone
- 201-773-4200
- Fax
- —
- Last updated
- July 29, 2024
Elite Premier Medical Care Plus LLC. is a healthcare organization based in Fair Lawn, NJ. Elite Premier Medical Care Plus LLC. practices in Fair Lawn, NJ. The NPI Number for Elite Premier Medical Care Plus LLC. is 1205531688. The current practice location address for Elite Premier Medical Care Plus LLC. is 15-01 Broadway, Fair Lawn, NJ 07410-6003 and can be reached out via phone at 201-773-4200.
Provider Profile Details
- NPI Number
- 1205531688
- Provider Name
- Elite Premier Medical Care Plus LLC.
- Provider Entity Type
- Organization
- Address
- 15-01 Broadway, Fair Lawn, NJ 07410-6003
- Phone Number
- 201-773-4200
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Fred Revoredo, MD · MD · 201-509-3903
- Provider Enumeration Date
- April 4, 2023
- Last Update Date
- July 29, 2024
- Certification Date
- July 29, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15-01 Broadway
Fair Lawn, NJ 07410-6003 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-6003
- Phone Number
- 201-773-4200
Provider Business Mailing Address Details
- Address
- 15-01 Broadway
Fair Lawn, NJ 07410-6003 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-6003
- Phone Number
- 201-773-4200
License Information
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Elite Premier Medical Care Plus LLC.?
The NPI number of Elite Premier Medical Care Plus LLC. is 1205531688. It was assigned on April 4, 2023 and is currently active in the NPPES registry.
What is the specialty of Elite Premier Medical Care Plus LLC.?
Elite Premier Medical Care Plus LLC. is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Elite Premier Medical Care Plus LLC. practice?
The practice location is 15-01 Broadway, Fair Lawn, NJ 07410-6003. The office can be reached at 201-773-4200 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205531688 directly on the NPPES registry website.