MEDADVANCE PLLC - NPI 1104634377 - Family Medicine in Somers Point, NJ

Q: What is Medadvance PLLC's NPI number?

The NPI number for Medadvance PLLC is 1104634377. It was assigned to this organization in the NPPES registry on December 20, 2024.

Q: What is Medadvance PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Medadvance PLLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

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About Medadvance Pllc NPPES

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

MEDADVANCE PLLC (NPI 1104634377) is a healthcare organization registered as a family medicine in Somers Point, New Jersey and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Knoxville and lists Tracy Wimberg, Vp Billing Operations, as its authorized official.

NPPES Registry Identity

NPI1104634377

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMEDADVANCE PLLC

Location Address731 BAY AVESomers Point, NJ 08244-2378

Mailing Address731 Bay AveSomers Point, NJ 08244-2378 · (865) 888-9958 · Fax (267) 907-8012

Phone(865) 888-9958

Fax(440) 582-3171

Organization SubpartNo

Authorized OfficialTracy WimbergVp Billing Operations · (609) 517-2526

Enumeration DateDecember 20, 2024

Last NPPES UpdateMay 20, 20253 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1104634377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

731 BAY AVE, Somers Point, NJ 08244

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Secondary Practice Location 1

Location 16216 Highland Place WayKnoxville, TN 37919-4070 · Phone (865) 549-5151

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

WILLIAM M WIXTED M.D.

Urology