Advocare , LLC
Organization Active NPI Internal Medicine Physician · Ridgewood, NJ
NPI 1598538217 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1598538217
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ADVOCARE , LLC
- Practice address
- 127 Union St Ste 108
Ridgewood, NJ 07450-4436 - Phone
- (201) 670-1231
- NPI assigned
- Nov 3, 2023
- 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
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0110518 | Advocare Ridgewood Medical | Certificate of waiver | Apr 18, 2027 |
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Locations
3242 Route 206
Bordentown, NJ 08505
Phone (609) 298-4340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
127 Union St Ste 108
Ridgewood, NJ 07450-4436
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 872-7055
Other names
- Advocare Ridgewood Medical
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- Advocare LLC
- Anastasia Agramonte
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All providers in Ridgewood, NJ · Internal 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 3, 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.