NPIMap

Organization Active NPI

Advocare , LLC

Doing business as Advocare Fairmount Pediatrics, Montgomery County

  • Pediatric Adolescent Medicine Physician
  • East Norriton, PA
National Provider Identifier
1043922297
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
ADVOCARE , LLC
Doing business as
Advocare Fairmount Pediatrics, Montgomery County
Practice address
190 W Germantown Pike Ste 150
East Norriton, PA 19401-1391
Phone
(215) 774-1166
NPI assigned
Dec 20, 2022
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCARE , LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Dawn M Candia
Title
Director
Phone
(856) 872-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

190 W Germantown Pike Ste 150
East Norriton, PA 19401-1391

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (215) 774-1166

Other names 1

  • Advocare Fairmount Pediatrics, Montgomery County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advocare LLC250 organizations share this tax ID, including this one
Part of
Advocare LLC

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

190 W Germantown Pike
Ste 150
Norristown, PA 19401
Phone (215) 774-1166

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1043922297",
    "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": "215-774-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W GERMANTOWN PIKE STE 150",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011391",
            "telephone_number": "215-774-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE , LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE , LLC",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "CANDIA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-872-7053"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Fairmount Pediatrics, Montgomery County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.