Advocare , LLC
Organization Active NPI Family Medicine Physician · Princeton, NJ
NPI 1144067604 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1144067604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVOCARE , LLC
- Practice address
- 10 Jefferson PLZ Ste 100
Princeton, NJ 08540-9502 - Phone
- (732) 274-1274
- NPI assigned
- Jul 11, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE , LLC
Authorized official
- Name
- Dawn M Candia
- Title
- Director
- Phone
- (856) 389-5444
Corporate family (same tax ID) 24
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1095913 | Advocare Garden State Physicians | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Locations
10 Jefferson Plz
Ste 100
Princeton, NJ 08540
Phone (732) 274-1274
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
10 Jefferson PLZ Ste 100
Princeton, NJ 08540-9502
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 872-7055
Other practice location 1
1002 Amboy Ave
Edison, NJ 08837-2842
Phone (732) 274-1274
Other names
- Advocare Garden State Physicians
Other providers in Princeton, NJ
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- Daris Adderley-Stanton
- Edith Addey Williams
- Sandra Amoako Adom
- Jane Garvey Adriance
- Advocare , LLC
- Advocare , LLC
- Aetna Better Health Inc.
- Dorianne Marcus Agarwal
- Sandra Agredo
All providers in Princeton, NJ · Family 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 Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.