Advocare, LLC
Organization Active NPI Pediatrics Physician · Teaneck, NJ
NPI 1861968216 · NPPES record last updated Oct 23, 2018
Key facts
- NPI
- 1861968216
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE, LLC
- Practice address
- 629 W Englewood Ave
Teaneck, NJ 07666-2939 - Phone
- (201) 836-4777
- Fax
- (201) 606-8236
- NPI assigned
- Oct 23, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE, LLC
Authorized official
- Name
- Charles McQueary
- Title
- Executive Director
- Phone
- (856) 872-7055
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
629 W Englewood Ave
Teaneck, NJ 07666-2939
Mailing address
629 W Englewood Ave
Teaneck, NJ 07666-2939
Phone (201) 836-4777
Other names
- Advocare West Englewood Pediatrics
Other providers in Teaneck, NJ
- Joel Adler
- Adrienne J. Kelly, LLC
- Advanced Neuromed LLC
- Advanced Sleep Technology LLC
- Advocare , LLC
- Affiliated Foot & Ankle Spec of Teaneck
- Jeanine Linda Ahmad
- Amir Ahmadi
- Aneesa Ahmed
- Subhan Ahmed
All providers in Teaneck, 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 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.