1. Home
  2. Directory
  3. New Jersey
  4. Paterson
  5. Family Medicine
  6. NPI Profile

REVOREDO MEDICAL AFFILIATES LLC
NPI 1881927358
Family Medicine in Paterson, NJ

Active since September 15, 2009
425 15TH AVE, PATERSON, NJ 07504(973) 345-4024(973) 345-4156 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revoredo Medical Affiliates Llc NPPES

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

REVOREDO MEDICAL AFFILIATES LLC (NPI 1881927358) is a healthcare organization registered as a family medicine in Paterson, New Jersey and active in the NPI registry since September 2009. The organization lists Fred S Revoredo, President, as its authorized official.

NPPES Registry Identity

NPI1881927358
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVOREDO MEDICAL AFFILIATES LLC
Location Address425 15TH AVEPaterson, NJ 07504-1811
Mailing Address425 15th AvePaterson, NJ 07504-1811 · (973) 345-4024
Phone(973) 345-4024
Fax(973) 345-4156
Organization SubpartNo
Authorized OfficialFred S RevoredoPresident · (973) 345-4024
Enumeration DateSeptember 15, 2009
✔ NPI 1881927358 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 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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MA07147400 (NJ)
425 15TH AVE, Paterson, NJ 07504
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH21223NJ

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

Other Providers at the Same Location NPPES 3

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

MARIE ANNE NELY GERMAIN MD
Student in an Organized Health Care Education/Training Program
425 15TH AVE
PATERSON, NJ 07504
Passaic County (973) 345-4024
GUIVARD SAINT GERMAIN MD
Student in an Organized Health Care Education/Training Program
425 15TH AVE
PATERSON, NJ 07504
Passaic County (973) 345-4024
DR. FRED REVOREDO M.D.
Family Medicine
425 15TH AVE
PATERSON, NJ 07504
Passaic County (973) 345-4155

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 Revoredo Medical Affiliates LLC's NPI number?

The NPI number for Revoredo Medical Affiliates LLC is 1881927358. It was assigned to this organization in the NPPES registry on September 15, 2009.

Where is Revoredo Medical Affiliates LLC located?

Revoredo Medical Affiliates LLC is located at 425 15th Ave, Paterson, NJ 07504. The listed phone number is (973) 345-4024.

What is Revoredo Medical Affiliates 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 Revoredo Medical Affiliates LLC was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.