Individual provider Active NPI

Lindsay Ann Requa, D.O.

  • Pediatrics Physician
  • Haddon Heights, NJ
National Provider Identifier
1265799050
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB09948500 Issued in NJ
Practice address
500 Grove St
Haddon Heights, NJ 08035-1761
Phone
(856) 428-3746
Fax
(877) 446-4094
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB09948500 NJ Primary
Pediatrics Physician 208000000X OS017561 PA

Addresses

Primary practice location

500 Grove St
Haddon Heights, NJ 08035-1761

Mailing address

401 Route 73 N BLDG 10
Marlton, NJ 08053-3425
Phone (856) 872-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701001087 NJ Practitioner - Pediatric Medicine 1850609017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB09948500NJMDPediatrics Physician
OS017561PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Mar 13, 2020 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Mar 13, 2020 Accepting new patients
Advocare , LLC Pediatrics PastSince Feb 4, 2024 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

500 Grove St
Haddon Heights, NJ 08035
Phone (856) 428-3746

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

318 N Haddon Ave
Ste A
Haddonfield, NJ 08033
Phone (856) 428-3746

693 Main St
Ste D
Lumberton, NJ 08048
Phone (267) 764-4704

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: lindsay.requa@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1265799050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N BLDG 10",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533425",
            "telephone_number": "856-872-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351761",
            "telephone_number": "856-428-3746",
            "fax_number": "877-446-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUA",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB09948500",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS017561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.