Advocare , LLC
Organization Active NPI Internal Medicine Physician · Maplewood, NJ
NPI 1093620510 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1093620510
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ADVOCARE , LLC
- Practice address
- 264 Boyden Ave
Maplewood, NJ 07040-3070 - Phone
- (856) 872-7055
- NPI assigned
- Aug 18, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE , LLC
Authorized official
- Name
- Dewayne Hiebert
- Title
- Chief of Payor Relations
- Phone
- (856) 872-7055
Corporate family (same tax ID) 24
Practitioners 1
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
Locations
264 Boyden Ave
Maplewood, NJ 07040
Phone (973) 761-0764
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
264 Boyden Ave
Maplewood, NJ 07040-3070
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 872-7055
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- Advanced Pain Care LLC
- Advocare , LLC
- Laura Ahmed
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- Elizabeth R. Aiello
- Ernest Akwaboah
All providers in Maplewood, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.