Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Premier Medical Care Plus LLC

Organization Family Medicine Physician · NPI 1205531688

Elite Premier Medical Care Plus LLC provides Family Medicine Physician services in Fair Lawn, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15-01 Broadway
Fair Lawn, NJ 07410-6003
Phone: (201) 773-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205531688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Revoredo — Md · (201) 509-3903
NPI enumeratedApril 4, 2023
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address15-01 Broadway, Fair Lawn, NJ 07410-6003

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