NPIMap

Organization Active NPI

Advocare , LLC

Doing business as Advocare Fairmount Family Practice

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1700489333
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVOCARE , LLC
Doing business as
Advocare Fairmount Family Practice
Practice address
2000 Hamilton St Ste 301a
Philadelphia, PA 19130-3874
Phone
(215) 774-1166
NPI assigned
Nov 17, 2020
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Charles McQueary
Title
Ao
Phone
(856) 872-7052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

2000 Hamilton St Ste 301a
Philadelphia, PA 19130-3874

Mailing address

2000 Hamilton St Ste 301a
Philadelphia, PA 19130-3874
Phone (215) 774-1166

Other names 1

  • Advocare Fairmount Family Practice 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 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

2000 Hamilton St
Ste 301A
Philadelphia, PA 19130
Phone (215) 774-1166

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1700489333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON ST STE 301A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303874",
            "telephone_number": "215-774-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON ST STE 301A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303874",
            "telephone_number": "215-774-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "856-872-7052"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Fairmount Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.