Advocare, LLC
Organization Active NPI Family Medicine Physician · Somerdale, NJ
NPI 1295744498 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1295744498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MB046542000 (NJ)
- Legal business name
- ADVOCARE, LLC
- Practice address
- 300 S Warwick Rd
Somerdale, NJ 08083-2139 - Phone
- (856) 784-6666
- Fax
- (856) 435-7073
- NPI assigned
- Aug 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE, LLC
Authorized official
- Name
- Mr. Charles McQueary
- Title
- Ceo
- Phone
- (856) 782-3300
Corporate family (same tax ID) 24
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1075360 | Advocare Sterling Medical Associates | Certificate of waiver | Oct 17, 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 |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 25MB046542000 | NJ | Yes |
Addresses
Primary practice location
300 S Warwick Rd
Somerdale, NJ 08083-2139
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 872-7055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0146714 | Medicaid | NJ |
Other names
- Advocare Sterling Medical Associates
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- Geraldine Atkins
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All providers in Somerdale, NJ · Family Medicine 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 Nov 22, 2021. 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.