Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Premier Medical Care Plus LLC

Organization Family Medicine Physician · NPI 1205531688

Elite Premier Medical Care Plus LLC is a Family Medicine Physician in Fair Lawn, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15-01 Broadway
Fair Lawn, NJ 07410-6003
Phone: (201) 773-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205531688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Revoredo — Md · (201) 509-3903
NPI enumeratedApril 4, 2023
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address15-01 Broadway, Fair Lawn, NJ 07410-6003

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