NPIMap

Organization Active NPI

Advocare LLC

Doing business as Advocare The Center for Children's Neurology

  • Neurology with Special Qualifications in Child Neurology Physician
  • Voorhees, NJ
National Provider Identifier
1992997894
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
25MA05933700 Issued in NJ
Legal business name
ADVOCARE LLC
Doing business as
Advocare The Center for Children's Neurology
Practice address
1000 White Horse Rd
Glendale Executive Campus Suite 802
Voorhees, NJ 08043-4406
Phone
(856) 435-0400
Fax
(856) 435-1448
NPI assigned
Aug 14, 2007
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. John M. Tedeschi, M.D.NPI 1194789156
Title
Ceo/Chairman
Phone
(856) 782-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X 25MA05933700 NJ Primary

Addresses

Primary practice location

1000 White Horse Rd
Glendale Executive Campus Suite 802
Voorhees, NJ 08043-4406

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other names 1

  • Advocare The Center for Children's Neurology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avocare LLC251 organizations share this tax ID, including this one
Part of
Avocare LLC

Organizations with this tax ID in the same state 12

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

Locations

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1992997894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD",
            "address_2": "GLENDALE EXECUTIVE CAMPUS SUITE 802",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434406",
            "telephone_number": "856-435-0400",
            "fax_number": "856-435-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCARE LLC",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "TEDESCHI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/CHAIRMAN",
        "authorized_official_telephone_number": "856-782-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA05933700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocare The Center for Children's Neurology",
            "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 Mar 9, 2010; 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.