Organization Active NPI

Advocare LLC

Doing business as Advocare Bergen Medical

  • Internal Medicine Physician
  • Ramsey, NJ
National Provider Identifier
1932878253
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVOCARE LLC
Doing business as
Advocare Bergen Medical
Practice address
245 E Main St
Ramsey, NJ 07446-1942
Phone
(201) 992-8292
NPI assigned
Sep 9, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

245 E Main St
Ramsey, NJ 07446-1942

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426

Other names 1

  • Advocare Bergen Medical 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
31D2277087Advocare Bergen Medical245 E Main Street, Ramsey, NJ 07446Certificate of waiverFeb 21, 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

545 Island Rd
Ste 1D
Ramsey, NJ 07446

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1932878253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E MAIN ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461942",
            "telephone_number": "201-992-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE LLC",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Bergen Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocare Bergen Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.