Organization Active NPI

Advocare, LLC

Doing business as Advocare Merchantville Pediatrics

  • Pediatrics Physician
  • Cherry Hill, NJ
National Provider Identifier
1780696732
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVOCARE, LLC
Doing business as
Advocare Merchantville Pediatrics
Practice address
1600 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2814
Phone
(856) 665-7337
Fax
(856) 665-8246
NPI assigned
Aug 11, 2006
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 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
Phone
(856) 872-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1600 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2814

Mailing address

401 Route 73 N Ste 120
Marlton, NJ 08053-3429
Phone (856) 334-5601

Other identifiers 1

IdentifierTypeStateIssuer
31D0707941OtherCLIA

Other names 1

  • Advocare Merchantville 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
31D0707941Advocare Merchantville Pediatrics1600 Chapel Ave West, Suite 100, Cherry Hill, NJ 08002Certificate of waiverDec 22, 2027

National Provider Directory

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

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

1600 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002
Phone (856) 665-7337

401 Route 73 N
Ste 120
Marlton, NJ 08053

Practitioners & affiliated clinicians

Practitioners 806

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.

View all 806

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1780696732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 120",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533429",
            "telephone_number": "856-334-5601",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CHAPEL AVE W",
            "address_2": "SUITE 100",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022814",
            "telephone_number": "856-665-7337",
            "fax_number": "856-665-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE, LLC",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "CANDIA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-872-7053"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "31D0707941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Merchantville Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocare Merchantville Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.