Revoredo Medical Affiliates LLC
Family Medicine in Paterson, New Jersey
1881927358- Practice location
- 425 15TH Ave, Paterson, NJ 07504-1811
- Phone
- 973-345-4024
- Fax
- 973-345-4156
- Last updated
- September 15, 2009
Revoredo Medical Affiliates LLC is a healthcare organization based in Paterson, NJ. Revoredo Medical Affiliates LLC practices in Paterson, NJ. The NPI Number for Revoredo Medical Affiliates LLC is 1881927358 and holds a License No. 25MA07147400 (NJ). The current practice location address for Revoredo Medical Affiliates LLC is 425 15TH Ave, Paterson, NJ 07504-1811 and can be reached out via phone at 973-345-4024 and via fax at 973-345-4156.
Provider Profile Details
- NPI Number
- 1881927358
- Provider Name
- Revoredo Medical Affiliates LLC
- Provider Entity Type
- Organization
- Address
- 425 15TH Ave, Paterson, NJ 07504-1811
- Phone Number
- 973-345-4024
- Fax Number
- 973-345-4156
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Fred S Revoredo, MD · President · 973-345-4024
- Provider Enumeration Date
- September 15, 2009
- Last Update Date
- September 15, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 425 15TH Ave
Paterson, NJ 07504-1811 - City
- Paterson
- State
- New Jersey
- Zip
- 07504-1811
- Phone Number
- 973-345-4024
- Fax Number
- 973-345-4156
Provider Business Mailing Address Details
- Address
- 425 15TH Ave
Paterson, NJ 07504-1811 - City
- Paterson
- State
- NJ
- Zip
- 07504-1811
- Phone Number
- 973-345-4024
License Information
- License Number (1)
- 25MA07147400
- License State (1)
- NJ
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 25MA07147400
- License State (2)
- NJ
- Taxonomy (2)
- 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 Revoredo Medical Affiliates LLC?
The NPI number of Revoredo Medical Affiliates LLC is 1881927358. It was assigned on September 15, 2009 and is currently active in the NPPES registry.
What is the specialty of Revoredo Medical Affiliates LLC?
Revoredo Medical Affiliates LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA07147400.
Where does Revoredo Medical Affiliates LLC practice?
The practice location is 425 15TH Ave, Paterson, NJ 07504-1811. The office can be reached at 973-345-4024 (phone) or 973-345-4156 (fax).
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 1881927358 directly on the NPPES registry website.