Organization Active NPI

Advocare, LLC

Doing business as Advocare Glendora Family Practice

  • Family Medicine Physician
  • Glendora, NJ
National Provider Identifier
1811250541
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVOCARE, LLC
Doing business as
Advocare Glendora Family Practice
Practice address
1300 Black Horse Pike
Glendora, NJ 08029-1308
Phone
(856) 939-2828
Fax
(856) 939-5057
NPI assigned
Jun 18, 2012
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
Mr. Charles McQueary Sr.
Title
Ceo
Phone
(856) 782-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1300 Black Horse Pike
Glendora, NJ 08029-1308

Mailing address

PO Box 71422
Philadelphia, PA 19176-1422
Phone (856) 872-7055

Other names 1

  • Advocare Glendora Family Practice Doing business as

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1811250541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71422",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191761422",
            "telephone_number": "856-872-7055",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BLACK HORSE PIKE",
            "city": "GLENDORA",
            "state": "NJ",
            "postal_code": "080291308",
            "telephone_number": "856-939-2828",
            "fax_number": "856-939-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE, LLC",
        "enumeration_date": "2012-06-18",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-782-3300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Glendora Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocare Glendora Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.