Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Fred Revoredo, M.D.

Family Medicine Physician in Paterson, NJ · enumerated 2006 · practices at Revoredo Medical Affiliates LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669588422

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Registry record

Entity type Individual (Type 1)

Name Dr. Fred Revoredo

Credential M.D.

Sex Male

Practice address Paterson, NJ, 07504

Phone (973) 345-4155

Enumeration date Aug 22, 2006

Last updated in NPPES Jul 29, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 25MA07147400 (NJ) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 25MA07147400 (NJ) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
8376808	Medicaid	NJ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Fred Revoredo?

Fred Revoredo is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Revoredo Medical Affiliates LLC Family Medicine Physician · Paterson, NJ NPI 1881927358 Marie Anne Nely Germain Student in an Organized Health Care Education/Training Program · Paterson, NJ NPI 1053064162 Guivard Saint Germain Student in an Organized Health Care Education/Training Program · Paterson, NJ NPI 1346993458

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-29.