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Five Star Medical Care Pllc

Family Medicine Physician in Monroe, NY · enumerated 2011 · authorized official Miryam Revoredo, Manager.

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

National Provider Identifier

1083995468

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Registry record

Entity type Organization (Type 2)
Legal business name Five Star Medical Care Pllc
Practice address 5 Carter Ln, Unit#111, Monroe, NY, 10950
Phone (973) 595-7400
Fax (973) 345-4156
Enumeration date Aug 30, 2011
Last updated in NPPES Aug 30, 2011

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 217042-1 (NY) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 217042-1 (NY) Primary

Authorized official

Name Miryam Revoredo
Title Manager
Phone (973) 595-7400

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.

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Frequently asked questions

What is the NPI number for Five Star Medical Care Pllc?
The NPI for Five Star Medical Care Pllc is 1083995468, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Five Star Medical Care Pllc?
NPPES lists Miryam Revoredo (Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-30.