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ADVOCARE LAUREL PEDIATRICS
NPI 1063424091
Pediatrics in Sewell, NJ

Active since August 11, 2006CLIA 31D2028213 · Waiver
269 FISH POND RD, SEWELL, NJ 08080(856) 863-9999 Get Directions Write a Review

NPPES record last updated: June 30, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Advocare Laurel Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVOCARE LAUREL PEDIATRICS (NPI 1063424091) is a healthcare organization registered as a pediatrics in Sewell, New Jersey and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Charles Mcqueary, Executive Vp And Coo, as its authorized official.

NPPES Registry Identity

NPI1063424091
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameADVOCARE, LLC
Location Address269 FISH POND RDSewell, NJ 08080-3047
Mailing Address401 Route 73 N Ste 320Marlton, NJ 08053-3426 · (856) 872-7055
Phone(856) 863-9999
Organization SubpartYesParent: Advocare , Llc
Authorized OfficialCharles McquearyExecutive Vp And Coo · (856) 872-7055
Enumeration DateAugust 11, 2006
Last NPPES UpdateJune 30, 2019
✔ NPI 1063424091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
269 FISH POND RD, Sewell, NJ 08080
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Other Names 1

Doing Business AsAdvocare Laurel Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2028213

Advocare Milestone Pediatrics · Sewell, NJ
Active · expires Aug 10, 2027
CLIA Number31D2028213
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorIndira Amato
Laboratory Phone(856) 740-4440
Laboratory LocationAdvocare Milestone Pediatrics239 Hurffville-Crosskeys Road, Suite 260 Virtua Health And Wellness Building - 2nd Floor, Sewell, NJ 08080
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D0119297

Advocare Laurel Pediatrics · Sewell, NJ
Expired · Aug 31, 2026
CLIA Number31D0119297
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Marc Backal
Laboratory Phone(856) 863-9999
Laboratory LocationAdvocare Laurel Pediatrics269 Fish Pond Road, Sewell, NJ 08080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JARED A PASTERNAK MD
Pediatrics
269 FISH POND RD
SEWELL, NJ 08080
Gloucester County (856) 863-9999
ELLEN C DELMORO MD
Pediatrics
269 FISH POND RD
SEWELL, NJ 08080
Gloucester County (856) 863-9999
AGNES FAGAN APN
Nurse Practitioner (Pediatrics)
269 FISH POND RD
SEWELL, NJ 08080
Gloucester County (856) 863-9999
DR. DAVID BRUNER MD
Pediatrics
269 FISH POND RD
SEWELL, NJ 08080
Gloucester County (856) 863-9999
MEGHAN DEIRDRE BURKE MD
Pediatrics
269 FISH POND RD
SEWELL, NJ 08080
Gloucester County (856) 863-9999
BRIDGET BONNER MSN, CRNP, CPNP-PC
Nurse Practitioner (Pediatrics)
269 FISH POND RD
SEWELL, NJ 08080
Gloucester County (856) 863-9999
DR. STEFANIE FIDERER D.O.
Pediatrics
269 FISH POND RD
SEWELL, NJ 08080
Gloucester County (856) 863-9999
ESTHER NETANYA SHOR MD
Pediatrics
269 FISH POND RD
SEWELL, NJ 08080
Gloucester County (856) 863-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advocare, LLC's NPI number?

The NPI number for Advocare, LLC is 1063424091. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Advocare Laurel Pediatrics.

Where is Advocare, LLC located?

Advocare, LLC is located at 269 Fish Pond Rd, Sewell, NJ 08080. The listed phone number is (856) 863-9999.

What is Advocare, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Advocare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2028213) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advocare, LLC was last updated on June 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.