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FIVE STAR MEDICAL CARE PLLC
NPI 1083995468
Family Medicine in Monroe, NY

Active since August 30, 2011
5 CARTER LN, UNIT#111, MONROE, NY 10950(973) 595-7400(973) 345-4156 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Five Star Medical Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVE STAR MEDICAL CARE PLLC (NPI 1083995468) is a healthcare organization registered as a family medicine in Monroe, New York and active in the NPI registry since August 2011. The organization lists Miryam D Revoredo, Manager, as its authorized official.

NPPES Registry Identity

NPI1083995468
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIVE STAR MEDICAL CARE PLLC
Location Address5 CARTER LN, UNIT#111Monroe, NY 10950-6230
Mailing AddressPo Box 3247Wayne, NJ 07474-3247
Phone(973) 595-7400
Fax(973) 345-4156
Organization SubpartNo
Authorized OfficialMiryam D RevoredoManager · (973) 595-7400
Enumeration DateAugust 30, 2011
✔ NPI 1083995468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 217042-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 217042-1 (NY)
5 CARTER LN, Monroe, NY 10950
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Five Star Medical Care PLLC's NPI number?

The NPI number for Five Star Medical Care PLLC is 1083995468. It was assigned to this organization in the NPPES registry on August 30, 2011.

Where is Five Star Medical Care PLLC located?

Five Star Medical Care PLLC is located at 5 Carter Ln Unit#111, Monroe, NY 10950. The listed phone number is (973) 595-7400.

What is Five Star Medical Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Five Star Medical Care PLLC was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.