Advocare , LLC
Organization Active NPI Pediatrics Physician · East Brunswick, NJ
NPI 1649030784 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1649030784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE , LLC
- Practice address
- 503 Cranbury Rd
East Brunswick, NJ 08816-3612 - Phone
- (732) 390-8400
- NPI assigned
- Mar 19, 2024
- 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 |
|---|---|---|---|
| 31D0124054 | Advocare Tiefenbrunn, Fortin & Tuck | Compliance | Nov 12, 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 |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
503 Cranbury Rd
East Brunswick, NJ 08816-3612
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 872-7055
Other names
- Advocare Tiefenbrunn Fortin & Tuck Pediatrics
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- Advantage Medical Associates, PA
- Advocare, LLC
- Affable Support Services LLC
- Affiliated Health Professionals PC
- Sabreen Afiouni
- Rasha Agaibi Megalaa
All providers in East Brunswick, NJ · Pediatrics 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 Mar 19, 2024. 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.