Advocare, LLC
Organization Active NPI Pediatrics Physician · Cherry Hill, NJ
NPI 1700898566 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1700898566
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE, LLC
- Practice address
- 1949 Marlton Pike E Ste 1
Cherry Hill, NJ 08003-2121 - Phone
- (856) 424-6050
- Fax
- (856) 424-2943
- NPI assigned
- Aug 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE, LLC
Authorized official
- Name
- Charles McQueary
- Title
- Ceo
- Phone
- (856) 872-7052
Corporate family (same tax ID) 24
Practitioners 4
-
Ami Amin, M.D.
-
Shannon Marie O'Brien, CRNP
-
Jasmine Vincent, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0117249 | Advocare South Jersey Pediatrics | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Locations
181 W White Horse Pike
Berlin, NJ 08009
Phone (856) 753-1815
535 S Black Horse Pike
Blackwood, NJ 08012
Phone (856) 228-1061
223 W Main St
Ste 3
Boonton, NJ 07005
Phone (973) 335-8656
911 Sunset Rd
Ste 2
Burlington, NJ 08016
1600 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002
Phone (856) 665-7337
1949 Marlton Pike E
Ste 1
Cherry Hill, NJ 08003
Phone (856) 424-6050
1949 Route 70 E
Cherry Hill, NJ 08003
Phone (609) 424-6050
1600 Chapel Ave W
Cherry Hill, NJ 08002
1740 Oak Tree Rd
Edison, NJ 08820
Phone (732) 494-5000
203 Route 9
Ste 203
Englishtown, NJ 07726
470 Stillwells Corner Rd
Freehold, NJ 07728
Phone (732) 780-3333
2001 Lincoln Dr W
Ste F1
Marlton, NJ 08053
1 S Centre St
Ste 100
Merchantville, NJ 08109
Phone (856) 665-7337
255 E Main St
Moorestown, NJ 08057
Phone (856) 222-0248
1100 Liberty Pl
Sicklerville, NJ 08081
Phone (856) 875-3630
151 State Route 10 E
Ste 105
Succasunna, NJ 07876
Phone (973) 584-0002
249 State Rt 94
#739
Vernon, NJ 07462
249 State Rt 94
Vernon, NJ 07462
Phone (973) 209-2255
246 Hamburg Tpke
Ste 304
Wayne, NJ 07470
Phone (973) 538-7700
550 Jessup Rd
West Deptford, NJ 08086
Phone (609) 922-4700
646 Kings Hwy
West Deptford, NJ 08096
Phone (856) 879-2887
216 Mall Blvd
Ste 200
King of Prussia, PA 19406
Phone (267) 273-1196
11 Industrial Blvd
Fl 2
Paoli, PA 19301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
1949 Marlton Pike E Ste 1
Cherry Hill, NJ 08003-2121
Mailing address
PO Box 71422
Philadelphia, PA 19176-1422
Phone (856) 872-7055
Other practice location 1
204 White Horse Pike
West Collingswood, NJ 08107-1944
Phone (856) 424-6050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31D0117249 | Other | ADVOCARE SOUTH JERSEY PEDIATRICS- CLIA | |
| 31D0119922 | Other | ADVOCARE SOUTH JERSEY PEDIATRICS- CLIA |
Other names
- Advocare South Jersey Pediatrics
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All providers in Cherry Hill, 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 Oct 27, 2021. 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.