Advocare, LLC
Organization Active NPI Pediatrics Physician · Gibbsboro, NJ
NPI 1265729552 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1265729552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE, LLC
- Practice address
- 63 N Lakeview Dr
Suite 202
Gibbsboro, NJ 08026-1026 - Phone
- (856) 435-6000
- Fax
- (856) 782-1667
- NPI assigned
- Jul 7, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE , LLC
Authorized official
- Name
- Charles McQueary
- Title
- Executive Vice President 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 |
|---|---|---|---|
| 31D0720862 | Advocare Milestone Pediatrics | Certificate of waiver | Aug 20, 2026 |
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Locations
501 5th St
Ste 2A
Atco, NJ 08004
714 N Bethlehem Pike
Ste 101
Lower Gwynedd, PA 19002
Phone (215) 540-4411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
63 N Lakeview Dr
Suite 202
Gibbsboro, NJ 08026-1026
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 872-7055
Other names
- Advocare Milestone Pediatrics
Other providers in Gibbsboro, NJ
- Jency Abraham
- Raymond Thomas Abrams
- Susan Louise Ackley
- Adcuro Home Healthcare LLC
- Adcuro Home Healthcare LLC
- Gregory M. Alberts
- Allies, Inc.
- Allies, Inc.
- Allies, Inc.
- Allies, Inc.
All providers in Gibbsboro, NJ · Pediatrics 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 4, 2022. 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.