Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Elite Premier Medical Care LLC

Family Medicine Physician in Paterson, NJ · enumerated 2011 · authorized official Miryam Revoredo, General Manegar.

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

National Provider Identifier

1609144005

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Registry record

Entity type Organization (Type 2)

Legal business name Elite Premier Medical Care LLC

Practice address 470 Chamberlain Ave Ste 7, Paterson, NJ, 07522

Phone (973) 595-7400

Enumeration date Dec 13, 2011

Last updated in NPPES Dec 13, 2011

Taxonomy & classification

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

Authorized official

Name Miryam Revoredo

Title General Manegar

Phone (973) 595-7400

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-12-13. Verify at npiregistry.cms.hhs.gov.

Where is Elite Premier Medical Care LLC located?

The practice location on file with NPPES is in Paterson, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-13.