Organization Active NPI

Advocare, LLC

Doing business as Advocare Summit Pediatrics

  • Pediatrics Physician
  • Summit, NJ
National Provider Identifier
1700336807
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVOCARE, LLC
Doing business as
Advocare Summit Pediatrics
Practice address
33 Overlook Rd
Suite 101
Summit, NJ 07901
Phone
(908) 273-1112
Fax
(908) 273-1146
NPI assigned
Oct 12, 2016
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Mr. Chuck McQueary
Title
President
Phone
(856) 504-8028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

33 Overlook Rd
Suite 101
Summit, NJ 07901

Mailing address

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

Other practice location 1

1119 Raritan Rd Fl 2
Clark, NJ 07066-1315
Phone (908) 273-1112

Other names 1

  • Advocare Summit Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advocare LLC250 organizations share this tax ID, including this one

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

1119 Raritan Rd
Ste 2
Clark, NJ 07066
Phone (732) 540-8145

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1700336807",
    "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": "856-762-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 101",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-273-1112",
            "fax_number": "908-273-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 Raritan Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661315",
            "country_code": "US",
            "telephone_number": "908-273-1112",
            "fax_number": "908-273-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-504-8028",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Summit Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocare Summit Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.