Elite Premier Medical Care Llc

LBN: Elite Premier Medical Care Llc
Elite Premier Medical Care Llc is an health care organization with primary practice located at 470 Chamberlain Ave Ste 7 , Paterson NJ 07522-1000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Elite Premier Medical Care Llc can be contacted via phone (973) 595-7400, or through Revoredo, Miryam via phone (973) 595-7400.

Contact Information

Primary practice address
470 Chamberlain Ave Ste 7 Paterson NJ 07522-1000
Phone: (973) 595-7400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Revoredo, Miryam
Phone: (973) 595-7400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07147400 New Jersey

Profile Details

NPI number 1609144005
LBN Legal business name Elite Premier Medical Care Llc
DBA Doing business as
Authorized official Revoredo, Miryam
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2011
Last updated Dec 13th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609144005 NPPES
New Jersey MEDICAID 8376808

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