ELITE PREMIER MEDICAL CARE LLC (NPI# 1609144005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609144005 |
| Entity Type | Organization |
| Organization Name | ELITE PREMIER MEDICAL CARE LLC |
| Practice Address |
470 Chamberlain Ave Ste 7 Paterson NJ 07522-1000 |
| Mailing Address |
425 15th Ave Ste 2 Paterson NJ 07504-1811 |
| Practice Telephone | 9735957400 |
| Mailing Telephone | 9735957400 |
| Mailing Fax Number | 9733454156 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MIRYAM REVOREDO (GENERAL MANEGAR) |
| Authorized Official Telephone | 9735957400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA07147400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8376808 | 05 |
| Street Address |
470 CHAMBERLAIN AVE STE 7 |
| City | PATERSON |
| State | NJ |
| Zip Code | 07522-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605104 | Voile Ann Cohen | Social Worker | 32 Clinton Street, Paterson, NJ 07522 | 2019-08-19 |
| 1568904787 | Kia Alston | Social Worker | 129 Temple St, Paterson, NJ 07522 | 2016-11-07 |
| 1134370455 | Gallery Pharmacies Inc | Pharmacy | 141 West Broadway, Paterson, NJ 07522 | 2008-10-06 |
| 1942364195 | Community Care Pharmacy Inc | Pharmacy | 55 North Main St., Community Care Pharmacy, Paterson, NJ 07522 | 2006-12-21 |
| 1003918343 | Us Care Pharmacy | Pharmacy | 141 143 W Broadway, Paterson, NJ 07522 | 2006-09-05 |
| 1255390068 | Nicholas Bohdan Semeniuk | Specialist/Technologist | 61-127 Preakness Ave, Paterson, NJ 07522 | 2006-03-21 |
| 1356865745 | Vivian Jiyoung Kim | Dentist | 32 Clinton St, Paterson, NJ 07522 | 2017-07-27 |
| 1598224818 | The Amazing Help Inc | Meals | 470 Chamberlain Ave Ste 11, Paterson, NJ 07522-1000 | 2019-03-16 |
| 1407001696 | Chiropractic Health Clinic | Clinic/Center | 470 Chamberlain Ave Ste 1, Paterson, NJ 07522-1000 | 2008-12-01 |
| 1093285983 | Synchronize Physical Therapy, PC | Physical Medicine & Rehabilitation | 470 Chamberlain Ave Ste 1, Paterson, NJ 07522-1000 | 2018-12-04 |
| Find all providers in zip 07522 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902313315 | Premiere Medical Group Associates | Family Medicine | 546 14th Ave, Paterson, NJ 07504-2206 | 2018-01-08 |
| 1427452465 | Shideh Doroudi | Family Medicine | 1020 Main St Ste C, Paterson, NJ 07503-2244 | 2014-10-20 |
| 1245368554 | Riva Kaynan | Family Medicine | 234 Mclean Blvd, Paterson, NJ 07504-1021 | 2007-02-28 |
| 1548374747 | Hasna Kazmouz | Family Medicine | 7 Lee Pl, Paterson, NJ 07505-1803 | 2006-08-18 |
| 1235108135 | Rafael Paz | Family Medicine | 424 River St, Paterson, NJ 07524 | 2006-03-15 |
| 1144737529 | Rl Medical Corporation | Family Medicine | 543 14th Ave, Paterson, NJ 07504-2205 | 2018-01-07 |
| 1043602303 | Family Care of New Jersey | Family Medicine | 1042 Main St, Paterson, NJ 07503-2212 | 2015-02-24 |
| 1700126299 | Nj Medical Professionals LLC | Family Medicine | 1020 Main St, Suite C, Paterson, NJ 07503-2244 | 2013-02-21 |
| 1609163716 | 21st Avenue Primary Care Pa | Family Medicine | 534 21st Ave, Paterson, NJ 07513-1337 | 2011-07-09 |
| 1124333901 | Jorge L Revoredo | Family Medicine | 425 15th Ave, Paterson, NJ 07504-1811 | 2010-08-17 |
| Find all providers in PATERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.