Organization Active NPI

Advocare, LLC

Doing business as Advocare Colon and Rectal Surgical Specialists

  • Colon & Rectal Surgery Physician
  • Voorhees, NJ
National Provider Identifier
1952739963
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
ADVOCARE, LLC
Doing business as
Advocare Colon and Rectal Surgical Specialists
Practice address
502 Centennial Blvd
Suite 5
Voorhees, NJ 08043-9544
Phone
(856) 429-8030
Fax
(856) 428-2718
NPI assigned
Oct 30, 2013
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Charles McQueary
Title
Ceo
Phone
(856) 872-7052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X NU Primary

Addresses

Primary practice location

502 Centennial Blvd
Suite 5
Voorhees, NJ 08043-9544

Mailing address

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

Other names 1

  • Advocare Colon and Rectal Surgical Specialists 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 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

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": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1952739963",
    "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": "502 CENTENNIAL BLVD",
            "address_2": "SUITE 5",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439544",
            "telephone_number": "856-429-8030",
            "fax_number": "856-428-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE, LLC",
        "enumeration_date": "2013-10-30",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-872-7052"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Colon and Rectal Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocare Colon and Rectal Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.