Advocare, LLC
Organization Active NPI Pediatrics Physician · Mays Landing, NJ
NPI 1154838878 · NPPES record last updated Feb 10, 2020
Key facts
- NPI
- 1154838878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE, LLC
- Practice address
- 5401 Harding Hwy Ste 6
Mays Landing, NJ 08330-2243 - Phone
- (609) 625-8585
- Fax
- (609) 625-3415
- NPI assigned
- Jan 3, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE, LLC
Authorized official
- Name
- Charles McQueary
- Title
- Executive VP and Coo
- Phone
- (856) 872-7055
Corporate family (same tax ID) 24
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0674768 | Advocare Mays Landing | Certificate of waiver | Apr 6, 2027 |
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Locations
975 Tuckerton Rd
Ste 100
Marlton, NJ 08053
5401 Harding Hwy
Ste 6
Mays Landing, NJ 08330
Phone (609) 625-8585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
5401 Harding Hwy Ste 6
Mays Landing, NJ 08330-2243
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 872-7055
Other names
- Advocare Mays Landing Pediatrics
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2020. 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.