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

Five Star Medical Care PLLC

Organization Emergency Medicine Physician · NPI 1083995468

Five Star Medical Care PLLC is an Emergency Medicine Physician in Monroe, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Carter Ln UNIT#111
Monroe, NY 10950-6230
Phone: (973) 595-7400
Fax: (973) 345-4156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 217042-1 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 217042-1 (NY)

Record details

NPI number1083995468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miryam Revoredo — Manager · (973) 595-7400
NPI enumeratedAugust 30, 2011
Last updated in NPPESAugust 30, 2011
Mailing addressPo Box 3247, Wayne, NJ 07474-3247

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