ADVOCARE FAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE
NPI 1386288702
Pediatrics - Adolescent Medicine in Philadelphia, PA
NPI Status: Active since October 29, 2019
Contact Information
2000 HAMILTON ST STE 109
PHILADELPHIA, PA
ZIP 19130
Phone: (215) 774-1166
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 39D1105885
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-03-2026
About ADVOCARE FAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE
This page provides the complete NPI Profile along with additional information for Advocare Fairmount Pediatrics And Adolescent Medicine, a pediatrician established in Philadelphia, Pennsylvania operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1386288702 assigned on October 2019. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Advocare Fairmount Pediatrics And Adolescent Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Advocare Fairmount Pediatrics And Adolescent Medicine. The authorized official of this NPI record is Charles Mcqueary (Executive Vp And Coo)
- NPI
- 1386288702
- Provider Legal Name
- ADVOCARE , LLC
- Other Organization Name
- ADVOCARE FAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2000 HAMILTON ST STE 109 PHILADELPHIA, PA 19130
- Location Phone
- (215) 774-1166
- Mailing Address
- PO BOX 71422 PHILADELPHIA, PA 19176
- Mailing Phone
- (856) 872-7055
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-29-2019
- Last Update Date
- 09-16-2022
- Code Navigator
A pediatrician like Advocare Fairmount Pediatrics And Adolescent Medicine is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D1105885
- Facility Type
- Physician Office
- Certificate Effective Date
- August 04, 2024
- Certificate Expiration Date
- August 03, 2026
- Laboratory Director
- ALEXIS S. LIEBERMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advocare Fairmount Pediatrics And Adolescent Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1386288702, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386288702, enumerated as an "organization" on October 29, 2019.
The provider is located at 2000 HAMILTON ST STE 109 PHILADELPHIA, PA 19130 and the phone number is (215) 774-1166.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
