Active NPI
Advocare, LLC
Doing business as Advocare Berlin Medical Associates
- Family Medicine Physician
- Berlin, NJ
National Provider Identifier
1184025538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVOCARE, LLC
- Doing business as
- Advocare Berlin Medical Associates
- Practice address
- 339 N Route 73
Suite 1
Berlin, NJ 08009-9707 - Phone
- (856) 767-8228
- Fax
- (856) 753-7836
- NPI assigned
- Sep 4, 2014
- Last updated
- Oct 27, 2021
- Organization subpart
- Yes
- Parent organization
- ADVOCARE , LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles McQueary
- Title
- Executive Vice President and Coo
- Phone
- (856) 872-7055
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | ||
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
339 N Route 73
Suite 1
Berlin, NJ 08009-9707
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Other names 1
- Advocare Berlin Medical Associates
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0966361 | Advocare Berlin Medical Assoc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Part of
- Advocare LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635292800000",
"number": "1184025538",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 N ROUTE 73",
"address_2": "SUITE 1",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099707",
"telephone_number": "856-767-8228",
"fax_number": "856-753-7836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVOCARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVOCARE , LLC",
"enumeration_date": "2014-09-04",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A",
"authorized_official_last_name": "MCQUEARY",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
"authorized_official_telephone_number": "856-872-7055"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advocare Berlin Medical Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advocare Berlin Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berlin, NJ
- A Little Heart2Heart Home Health Care, LLC (A Little Heart2Heart HHC)
- Amanda Nicole Acchione
- Acute Behavioral Health of New Jersey, P.a.
- Advocare , LLC (Advocare Franklin Family Practice)
- Advocare , LLC (Advocare Recovery Now)
- Advocare, LLC (Advocare Berlin Medical Associates)
- Advocare, LLC (Advocare In-Patient Medicine)
- Deanna Simone Allen, LPC
- Katarina Marie Allgood, FNP-C
- Allies, Inc.
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.