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ELITE PREMIER MEDICAL CARE PLUS LLC.
NPI 1205531688
Family Medicine in Fair Lawn, NJ

Active since April 04, 2023
15-01 BROADWAY, FAIR LAWN, NJ 07410(201) 773-4200 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Apr 4, 2023 (2 updates tracked since 2023).

About Elite Premier Medical Care Plus Llc. NPPES

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

ELITE PREMIER MEDICAL CARE PLUS LLC. (NPI 1205531688) is a healthcare organization registered as a family medicine in Fair Lawn, New Jersey and active in the NPI registry since April 2023. The organization lists Fred Revoredo, Md, as its authorized official.

NPPES Registry Identity

NPI1205531688
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE PREMIER MEDICAL CARE PLUS LLC.
Location Address15-01 BROADWAYFair Lawn, NJ 07410-6003
Mailing Address15-01 BroadwayFair Lawn, NJ 07410-6003 · (201) 773-4200
Phone(201) 773-4200
Organization SubpartNo
Authorized OfficialFred RevoredoMd · (201) 509-3903
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1205531688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
15-01 BROADWAY, Fair Lawn, NJ 07410
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIKTORIA SVERDLOV DMD
Dentist
15-01 BROADWAY, SUITE 10F
FAIR LAWN, NJ 07410
Bergen County (201) 791-0130
IMEDICAL ASSOCIATES, LLC
Internal Medicine
15-01 BROADWAY, SUITE 32
FAIR LAWN, NJ 07410
Bergen County (201) 791-6434
SAILAJA DEVI VALIVETI MD
Psychiatry & Neurology (Geriatric Psychiatry)
15-01 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 794-7733
ROBERT GREENBLUM MD
Specialist
15-01 BROADWAY, STE 20
FAIR LAWN, NJ 07410
Bergen County (201) 794-6008
DR. THOMAS RENNY D.M.D.
Dentist (General Practice)
15-01 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 791-0130
SURGICARE SURGICAL ASSOCIATES OF FAIRLAWN, LLC
Clinic/Center (Ambulatory Surgical)
15-01 BROADWAY, STE 1
FAIR LAWN, NJ 07410
Bergen County (201) 703-8487
KUCHIPUDI BAPINEEDU, MD PA
Surgery
15-01 BROADWAY, STE. #22
FAIR LAWN, NJ 07410
Bergen County (201) 796-4848
MS. BEENA PATEL PT, DPT
Physical Therapist
15-01 BROADWAY, SUITE 30A
FAIR LAWN, NJ 07410
Bergen County (201) 703-7107

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 Elite Premier Medical Care Plus LLC.'s NPI number?

The NPI number for Elite Premier Medical Care Plus LLC. is 1205531688. It was assigned to this organization in the NPPES registry on April 4, 2023.

Where is Elite Premier Medical Care Plus LLC. located?

Elite Premier Medical Care Plus LLC. is located at 15-01 Broadway, Fair Lawn, NJ 07410. The listed phone number is (201) 773-4200.

What is Elite Premier Medical Care Plus LLC.'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 Elite Premier Medical Care Plus LLC. was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.