Organization Active NPI

Advocare , LLC

  • Pediatrics Physician
  • Wayne, NJ
National Provider Identifier
1952963092
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVOCARE , LLC
Practice address
150 Hinchman Ave Ste 4
Wayne, NJ 07470-2360
Phone
(973) 595-6966
NPI assigned
Jun 28, 2019
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
Charles McQueary
Title
Exective Vice President and Coo
Phone
(856) 782-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

150 Hinchman Ave Ste 4
Wayne, NJ 07470-2360

Mailing address

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

Other names 1

  • Advocare Wayne Pediatrics & Adult Integrative Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Advocare Chalfont Internal Medicine250 organizations share this tax ID, including this one
Part of
Advocare Chalfont Internal Medicine

Organizations with this tax ID in the same state 21

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

View all 21

Locations

150 Hinchman Ave
Ste 4
Wayne, NJ 07470
Phone (973) 595-6966

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1952963092",
    "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": "150 HINCHMAN AVE STE 4",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702360",
            "telephone_number": "973-595-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE , LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE , LLC",
        "enumeration_date": "2019-06-28",
        "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": "EXECTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "856-782-3300"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare Wayne Pediatrics & Adult Integrative Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wayne, 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.