Revoredo Medical Affiliates LLC
NPI 1881927358ActiveOrganization· Family Medicine· Paterson, NJ
Family Medicine in Paterson, New Jersey, registered in NPPES in September 2009. The authorized official on file is Fred S. Revoredo, MD, President.
Overview
| NPI | 1881927358 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2009 |
| Last updated in NPPES | Sep 15, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25MA07147400 | NJ |
| Emergency Medicine | 207P00000X | 25MA07147400 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Paterson
- 1609163716
- 1518480912
- 1487896635
- 1609144005
- 1043602303
- 1093409310
- 1821370149
- 1891468419
- 1194485664
- 1700126299
- 1902313315
- 1144737529