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ELITE PREMIER MEDICAL CARE LLC
NPI 1609144005
Family Medicine in Paterson, NJ

Active since December 13, 2011
470 CHAMBERLAIN AVE STE 7, PATERSON, NJ 07522(973) 595-7400 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elite Premier Medical Care Llc NPPES

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

ELITE PREMIER MEDICAL CARE LLC (NPI 1609144005) is a healthcare organization registered as a family medicine in Paterson, New Jersey and active in the NPI registry since December 2011. The organization lists Miryam Revoredo, General Manegar, as its authorized official.

NPPES Registry Identity

NPI1609144005
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE PREMIER MEDICAL CARE LLC
Location Address470 CHAMBERLAIN AVE STE 7Paterson, NJ 07522-1000
Mailing Address425 15th Ave Ste 2Paterson, NJ 07504-1811 · (973) 595-7400 · Fax (973) 345-4156
Phone(973) 595-7400
Organization SubpartNo
Authorized OfficialMiryam RevoredoGeneral Manegar · (973) 595-7400
Enumeration DateDecember 13, 2011
✔ NPI 1609144005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA07147400
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.
470 CHAMBERLAIN AVE STE 7, Paterson, NJ 07522
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Other Identifiers 2

Medicaid8376808NJ
Medicare UPINH21223

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 Elite Premier Medical Care LLC's NPI number?

The NPI number for Elite Premier Medical Care LLC is 1609144005. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Elite Premier Medical Care LLC located?

Elite Premier Medical Care LLC is located at 470 Chamberlain Ave Ste 7, Paterson, NJ 07522. The listed phone number is (973) 595-7400.

What is Elite Premier Medical Care 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 LLC was last updated on December 13, 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.