Family Medicine
FIVE STAR MEDICAL CARE PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1083995468 · enumerated 2011-08-30 · record updated 2011-08-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MIRYAM REVOREDO, MANAGER · (973) 595-7400
Addresses and phones
- Mailing address PO BOX 3247, WAYNE, NJ, 07474-3247 Google Maps Apple Maps OpenStreetMap
- Practice location 5 CARTER LN, UNIT#111, MONROE, NY, 10950-6230 (973) 595-7400 Fax (973) 345-4156 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · License 217042-1 NY
- Family Medicine 207Q00000X · Primary · License 217042-1 NY
In this directory
Locations and evidence
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Practice location
MONROE, NY, 109506230
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.