Organization Active NPI

Advocare, LLC

Doing business as Advocare West Englewood Pediatrics

  • Pediatrics Physician
  • Teaneck, NJ
National Provider Identifier
1861968216
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVOCARE, LLC
Doing business as
Advocare West Englewood Pediatrics
Practice address
629 W Englewood Ave
Teaneck, NJ 07666-2939
Phone
(201) 836-4777
Fax
(201) 606-8236
NPI assigned
Oct 23, 2018
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Charles McQueary
Title
Executive Director
Phone
(856) 872-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

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 1

  • Advocare West Englewood Pediatrics 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

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1861968216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W ENGLEWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662939",
            "telephone_number": "201-836-4777",
            "fax_number": "201-606-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W ENGLEWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662939",
            "telephone_number": "201-836-4777",
            "fax_number": "201-606-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE, LLC",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-872-7055"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare West Englewood Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.