NPIMap

Organization Active NPI

Advocare, LLC

  • Pediatrics Physician
  • Newton, NJ
National Provider Identifier
1013060086
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVOCARE, LLC
Practice address
39 Newton Sparta Rd
Newton, NJ 07860-2773
Phone
(973) 383-9841
Fax
(973) 383-7989
NPI assigned
Jan 20, 2007
Organization subpart
Yes
Parent organization
ADVOCARE , LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles McQueary
Title
Executive Vice President and Coo
Phone
(856) 872-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

39 Newton Sparta Rd
Newton, NJ 07860-2773

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 872-7055

Other identifiers 2

IdentifierTypeStateIssuer
0151262MedicaidNJ
31D0115763OtherCLIA

Other names 1

  • Advocare Sussex County Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0115763Advocare Sussex County Pediatrics39 Newton-Sparta Rd, Newton, NJ 07860Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Advocare Chalfont Internal Medicine248 organizations share this tax ID, including this one
Part of
Advocare Chalfont Internal Medicine

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

2B Myrtle Dr
Montague, NJ 07827
Phone (570) 296-5792

39 Newton Sparta Rd
#C
Newton, NJ 07860
Phone (908) 979-1144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1013060086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "856-872-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602773",
            "telephone_number": "973-383-9841",
            "fax_number": "973-383-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE , LLC",
        "enumeration_date": "2007-01-20",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "856-872-7055"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151262",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "31D0115763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Sussex County Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocare Sussex County Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.