Elite Premier Medical Care LLC
Family Medicine in Paterson, New Jersey
1609144005- Practice location
- 470 Chamberlain Ave Ste 7, Paterson, NJ 07522-1000
- Phone
- 973-595-7400
- Fax
- —
- Last updated
- December 13, 2011
Elite Premier Medical Care LLC is a healthcare organization based in Paterson, NJ. Elite Premier Medical Care LLC practices in Paterson, NJ. The NPI Number for Elite Premier Medical Care LLC is 1609144005 and holds a License No. 25MA07147400 (NJ). The current practice location address for Elite Premier Medical Care LLC is 470 Chamberlain Ave Ste 7, Paterson, NJ 07522-1000 and can be reached out via phone at 973-595-7400.
Provider Profile Details
- NPI Number
- 1609144005
- Provider Name
- Elite Premier Medical Care LLC
- Provider Entity Type
- Organization
- Address
- 470 Chamberlain Ave Ste 7, Paterson, NJ 07522-1000
- Phone Number
- 973-595-7400
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Miryam Revoredo · General Manegar · 973-595-7400
- Provider Enumeration Date
- December 13, 2011
- Last Update Date
- December 13, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 470 Chamberlain Ave Ste 7
Paterson, NJ 07522-1000 - City
- Paterson
- State
- New Jersey
- Zip
- 07522-1000
- Phone Number
- 973-595-7400
Provider Business Mailing Address Details
- Address
- 425 15TH Ave Ste 2
Paterson, NJ 07504-1811 - City
- Paterson
- State
- NJ
- Zip
- 07504-1811
- Phone Number
- 973-595-7400
- Fax Number
- 973-345-4156
License Information
- License Number
- 25MA07147400
- License State
- NJ
- 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 LLC?
The NPI number of Elite Premier Medical Care LLC is 1609144005. It was assigned on December 13, 2011 and is currently active in the NPPES registry.
What is the specialty of Elite Premier Medical Care LLC?
Elite Premier Medical Care LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA07147400.
Where does Elite Premier Medical Care LLC practice?
The practice location is 470 Chamberlain Ave Ste 7, Paterson, NJ 07522-1000. The office can be reached at 973-595-7400 (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 1609144005 directly on the NPPES registry website.