Andres Tiangco Guevarra, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA04812200 Issued in NJ

Practice address

212 W Route 38
Suite 400
Moorestown, NJ 08057-3238

Phone

(856) 235-0264

Fax

(856) 235-4635

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Moorestown, NJ
  • NPI 1063764736
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Swedesboro, NJ
  • NPI 1164699492
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Sewell, NJ
  • NPI 1699787457
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Voorhees, NJ
  • NPI 1841201001
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1427009588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38 STE 400",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573259",
            "telephone_number": "856-235-0264",
            "fax_number": "856-235-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38",
            "address_2": "SUITE 400",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573238",
            "telephone_number": "856-235-0264",
            "fax_number": "856-235-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "ANDRES",
        "middle_name": "TIANGCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04812200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2436302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David D Gross, M.D.
• Fred M Gross, PSYD
• Michael Anthony Grosso, MD
• Jessica Anne Growette, RPH
• Juliane Grubb, DNP APN FNP-BC
• Jesusita Herco Guevarra, M.D.
• Meghan Ha, PHARMD
• Kyle Hadden, DPT
• John Hagan, DPT
• Kimberly Ann Hagen, PA

• Pediatrics Physician in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.

Verify at the official NPI Registry.