Advocare , LLC
Organization Active NPI Pediatrics Physician · Elmwood Park, NJ
NPI 1992316715 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1992316715
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE , LLC
- Practice address
- 241 Molnar Dr Ste 202
Elmwood Park, NJ 07407-3200 - Phone
- (201) 578-4147
- NPI assigned
- Aug 14, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE , LLC
Authorized official
- Name
- Charles McQueary
- Title
- Ceo
- Phone
- (856) 872-7052
Corporate family (same tax ID) 14
Practitioners 2
-
Michele D Haviland, PNPC
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Locations
5045 Route 130
Ste F2
Delran, NJ 08075
948 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
241 Molnar Dr Ste 202
Elmwood Park, NJ 07407-3200
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 334-6293
Other practice location 1
5045 Route 130 Ste F-2
Delran, NJ 08075-9707
Phone (856) 872-7055
Other names
- Advocare Benzel Pediatrics
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.