Elite Premier Medical Care Plus LLC.
NPI 1205531688 · Family Medicine Physician · Fair Lawn, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Premier Medical Care Plus LLC. is a Family Medicine Physician organization in Fair Lawn, NJ (NPI 1205531688).
Provider details
- NPI number
- 1205531688
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fred Revoredo, MD(201) 509-3903
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-04
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Frequently asked questions
- What is Elite Premier Medical Care Plus LLC.'s NPI number?
- Elite Premier Medical Care Plus LLC.'s National Provider Identifier (NPI) is 1205531688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Premier Medical Care Plus LLC.?
- Elite Premier Medical Care Plus LLC. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Premier Medical Care Plus LLC. located?
- Elite Premier Medical Care Plus LLC.'s practice location on file with NPPES is 15-01 Broadway, Fair Lawn, NJ 07410-6003.
- What is Elite Premier Medical Care Plus LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Elite Premier Medical Care Plus LLC. is (201) 773-4200.
- Does Elite Premier Medical Care Plus LLC. accept Medicare?
- Elite Premier Medical Care Plus LLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Premier Medical Care Plus LLC.?
- The authorized official listed on Elite Premier Medical Care Plus LLC.'s NPPES record is Fred Revoredo, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Premier Medical Care Plus LLC.'s NPI active?
- Yes — Elite Premier Medical Care Plus LLC.'s NPI (1205531688) is active in the NPPES registry as of the last update on 2024-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.