Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Elite Premier Medical Care Plus LLC.

Family Medicine Physician in Fair Lawn, NJ · enumerated 2023 · authorized official Fred Revoredo, MD.

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

National Provider Identifier

1205531688

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Elite Premier Medical Care Plus LLC.

Practice address 15-01 Broadway, Fair Lawn, NJ, 07410

Phone (201) 773-4200

Enumeration date Apr 4, 2023

Last updated in NPPES Jul 29, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Fred Revoredo

Title MD

Phone (201) 509-3903

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 is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Elite Premier Medical Care Plus LLC.?

Elite Premier Medical Care Plus LLC. is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Providers at this address

Browse all →

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