Advocare , LLC
Organization Active NPI Pediatrics Physician · West Orange, NJ
NPI 1295446136 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1295446136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE , LLC
- Practice address
- 101 Old Short Hills Rd Ste 105
West Orange, NJ 07052-1080 - Phone
- (973) 325-1115
- NPI assigned
- Dec 12, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE , LLC
Authorized official
- Name
- Dawn M Candia
- Title
- Director
- Phone
- (856) 389-5444
Corporate family (same tax ID) 24
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2281020 | Advocare Lovenheim Pediatrics | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
101 Old Short Hills Rd Ste 105
West Orange, NJ 07052-1080
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (973) 325-1115
Other names
- Advocare Lovenheim Pediatrics
Other providers in West Orange, NJ
- Advanced Gastroenterology, PA
- Advanced Orthopaedic & Joint Replacement Center PA
- Advanced Urologic Care Associates, P.C.
- Advanced Wellness Center of Essex County, P.C.
- Sonoo Kishu Advani
- Advocare , LLC
- Aeg Medical Solutions Inc.
- Aeleft Health, PC
- Affiliated Eye Surgeons Northern New Jersey P a
- Affiliates in Gastroenterology PA
All providers in West Orange, 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 Jun 28, 2023. 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.