NPIMap

Organization Active NPI

Advocare, LLC

Doing business as Advocare Township Pediatrics

  • Pediatrics Physician
  • Sewell, NJ
National Provider Identifier
1699787457
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVOCARE, LLC
Doing business as
Advocare Township Pediatrics
Practice address
123 Egg Harbor Rd
Tower Commons, Suite 206
Sewell, NJ 08080-9406
Phone
(856) 227-5437
Fax
(856) 227-5890
NPI assigned
Aug 12, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dawn M Candia
Title
Director, Credentialing
Phone
(856) 872-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

123 Egg Harbor Rd
Tower Commons, Suite 206
Sewell, NJ 08080-9406

Mailing address

PO Box 3001
Voorhees, NJ 08043-0598
Phone (856) 782-3300

Other identifiers 1

IdentifierTypeStateIssuer
31D1028404OtherCLIA

Other names 1

  • Advocare Township Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1028404Advocare Township Pediatrics123 Egg Harbor Road, Sewell, NJ 08080Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Advocare Chalfont Internal Medicine250 organizations share this tax ID, including this one
Part of
Advocare Chalfont Internal Medicine

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

Locations

1949 Marlton Pike E
Ste 1
Cherry Hill, NJ 08003
Phone (856) 424-6050

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1699787457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3001",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430598",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD",
            "address_2": "TOWER COMMONS, SUITE 206",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-227-5437",
            "fax_number": "856-227-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE, LLC",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CANDIA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING",
        "authorized_official_telephone_number": "856-872-7053"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "31D1028404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Township Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocare Township Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.