Advocare , LLC
Organization Active NPI Internal Medicine Physician · Moorestown, NJ
NPI 1992313746 · NPPES record last updated Feb 17, 2021
Key facts
- NPI
- 1992313746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ADVOCARE , LLC
- Practice address
- 701 E Main St Ste 7
Moorestown, NJ 08057-3032 - Phone
- (856) 772-7088
- NPI assigned
- Jul 17, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE , LLC
Authorized official
- Name
- Charles McQueary
- Title
- Coo
- Phone
- (856) 872-7052
Corporate family (same tax ID) 15
Practitioners 2
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2214877 | Advocare Garden State Internal Medicine | Certificate of waiver | Feb 24, 2027 |
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Locations
750 Route 73 S
Ste 201A
Marlton, NJ 08053
Phone (856) 372-4230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
701 E Main St Ste 7
Moorestown, NJ 08057-3032
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 334-6293
Other practice location 1
750 Route 73 S Ste 201A
Marlton, NJ 08053-4133
Phone (732) 668-8069
Other names
- Advocare Garden State Internal Medicine
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- Advocare , LLC
- Advocare, LLC
- Advocare, LLC
- Advocare, LLC
- Advocare, LLC
- Umair S Ahmad
All providers in Moorestown, NJ · Internal Medicine 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 Feb 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.