NPIMap

Organization Active NPI

Advocare, LLC

Doing business as Advocare Woolwich Pediatrics

  • Pediatrics Physician
  • Swedesboro, NJ
National Provider Identifier
1164699492
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVOCARE, LLC
Doing business as
Advocare Woolwich Pediatrics
Practice address
300 Lexington Rd BLDG B
Suite 200
Swedesboro, NJ 08085-1278
Phone
(856) 241-2111
Fax
(856) 241-2243
NPI assigned
May 15, 2008
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. John M. Tedeschi, MDNPI 1194789156
Title
Ceo/ Chairman
Phone
(856) 782-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

300 Lexington Rd BLDG B
Suite 200
Swedesboro, NJ 08085-1278

Mailing address

PO Box 71422
Philadelphia, PA 19176-1422
Phone (856) 872-7055

Other practice location 1

298 Bianca Ave
Carneys Point, NJ 08069-2633
Phone (856) 872-7055

Other identifiers 1

IdentifierTypeStateIssuer
31D1086880OtherCLIA

Other names 1

  • Advocare Woolwich 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
31D1086880Advocare Woolwich Pediatrics - Woolwich300 Lexington Road, Woolwich Township, NJ 08085Certificate of waiverJul 21, 2028

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 24

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

View all 24

Locations

300 Lexington Rd
Ste 200
Woolwich Twp, NJ 08085
Phone (856) 241-2111

Practitioners & affiliated clinicians

Practitioners 4

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": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1164699492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71422",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191761422",
            "telephone_number": "856-872-7055",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LEXINGTON RD BLDG B",
            "address_2": "SUITE 200",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851278",
            "telephone_number": "856-241-2111",
            "fax_number": "856-241-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 Bianca Ave",
            "address_purpose": "LOCATION",
            "city": "Carneys Point",
            "state": "NJ",
            "postal_code": "080692633",
            "country_code": "US",
            "telephone_number": "856-872-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE, LLC",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "TEDESCHI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/ CHAIRMAN",
        "authorized_official_telephone_number": "856-782-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "31D1086880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Woolwich Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocare Woolwich Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swedesboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.