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Advocare , LLC

Organization Active NPI Pediatrics Physician · Telford, PA

NPI 1538726237 · NPPES record last updated Oct 27, 2021

Key facts

NPI
1538726237
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
ADVOCARE , LLC
Practice address
706 S County Line Rd
Telford, PA 18969-1108
Phone
(215) 302-9096
NPI assigned
May 29, 2019
Organization subpart
Yes
Parent organization (as reported)
ADVOCARE , LLC

Authorized official

Name
Charles McQueary
Title
Executive Vice President/Coo
Phone
(856) 782-3300

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Advocare Chalfont Internal Medicine (248 organizations share this tax ID)
Part of
Advocare Chalfont Internal Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

706 S County Line Rd
Telford, PA 18969-1108

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426

Other names

  • Advocare County Line Medical Associates Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2021.

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1538726237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S COUNTY LINE RD",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691108",
            "telephone_number": "215-302-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE , LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE , LLC",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/COO",
        "authorized_official_telephone_number": "856-782-3300"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare County Line Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Telford, PA

All providers in Telford, PA · Pediatrics Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.