Elite Premier Medical Care LLC
NPI 1609144005 · Family Medicine Physician · Paterson, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Premier Medical Care LLC is a Family Medicine Physician organization in Paterson, NJ (NPI 1609144005).
Provider details
- NPI number
- 1609144005
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miryam Revoredo, General Manegar(973) 595-7400
- License
- 25MA07147400 (NJ)
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
14 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
- 2011-12-13
- Last updated
- 2011-12-13
Frequently asked questions
- What is Elite Premier Medical Care LLC's NPI number?
- Elite Premier Medical Care LLC's National Provider Identifier (NPI) is 1609144005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Premier Medical Care LLC?
- Elite Premier Medical Care LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Premier Medical Care LLC located?
- Elite Premier Medical Care LLC's practice location on file with NPPES is 470 Chamberlain Ave Ste 7, Paterson, NJ 07522-1000.
- What is Elite Premier Medical Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Premier Medical Care LLC is (973) 595-7400.
- Does Elite Premier Medical Care LLC accept Medicare?
- Elite Premier Medical Care 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 LLC?
- The authorized official listed on Elite Premier Medical Care LLC's NPPES record is Miryam Revoredo, General Manegar. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Premier Medical Care LLC's NPI active?
- Yes — Elite Premier Medical Care LLC's NPI (1609144005) is active in the NPPES registry as of the last update on 2011-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.