Active NPI
Lindsay Ann Requa, D.O.
- Pediatrics Physician
- Haddon Heights, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB09948500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09948500 | NJ | MD | Pediatrics Physician |
| OS017561 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Pediatrics | Current | Accepting new patients |
| Advocare , LLC | Pediatrics | Past | 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
- 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.
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.