Organization Active NPI

Advocare Allied Gastrointestinal Associates

  • Gastroenterology Physician
  • Marlton, NJ
National Provider Identifier
1306372578
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ADVOCARE ALLIED GASTROINTESTINAL ASSOCIATES
Practice address
401 Route 73 N, BLDG 10, Ste 320
Lake Center Executive Park
Marlton, NJ 08053
Phone
(856) 872-7052
Fax
(856) 762-1775
NPI assigned
May 10, 2017
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Charles McQueary
Title
Executive Director
Phone
(856) 872-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

401 Route 73 N, BLDG 10, Ste 320
Lake Center Executive Park
Marlton, NJ 08053

Mailing address

401 Route 73 N, BLDG 10, Ste 320
Lake Center Executive Park
Marlton, NJ 08053
Phone (856) 872-7052

National Provider Directory

National Provider Directory
Tax ID family
Advocare LLC250 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1306372578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N, BLDG 10, STE 320",
            "address_2": "LAKE CENTER EXECUTIVE PARK",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-872-7052",
            "fax_number": "856-762-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N, BLDG 10, STE 320",
            "address_2": "LAKE CENTER EXECUTIVE PARK",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-872-7052",
            "fax_number": "856-762-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE ALLIED GASTROINTESTINAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-872-7055"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.