ADVOCARE PROMENADE PEDIATRICS - NPI 1629747258

Q: What is Advocare LLC's NPI number?

The NPI number for Advocare LLC is 1629747258. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Advocare Promenade Pediatrics.

Q: What is Advocare LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Advocare LLC was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Advocare Promenade Pediatrics NPPES

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

ADVOCARE PROMENADE PEDIATRICS (NPI 1629747258) is a healthcare organization registered as a pediatrics in Marlton, New Jersey and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Dawn M Candia, Director, as its authorized official.

NPPES Registry Identity

NPI1629747258

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameADVOCARE LLC

Location Address528 LIPPINCOTT DRMarlton, NJ 08053-4805

Mailing Address401 Route 73 N Ste 320Marlton, NJ 08053-3426 · Fax (856) 283-0139

Phone(856) 983-3899

Fax(856) 983-3997

Organization SubpartYesParent: Advocare , Llc

Authorized OfficialDawn M CandiaDirector · (856) 389-5444

Enumeration DateSeptember 8, 2021

Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration

NPPES CertifiedDecember 30, 2021

✔ NPI 1629747258 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.

528 LIPPINCOTT DR, Marlton, NJ 08053

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Other Names 1

Doing Business AsAdvocare Promenade 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

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 31D0969394

Advocare Promenade Pediatrics · Marlton, NJ

Active · expires Jan 12, 2028

CLIA Number31D0969394

Laboratory TypePhysician Office

Certificate Effective DateJanuary 13, 2026

Certificate Expiration DateJanuary 12, 2028

Laboratory DirectorRamesh Ragothaman

Laboratory Phone(856) 983-3899

Laboratory LocationAdvocare Promenade Pediatrics528 Lippincott Dr, Marlton, NJ 08053

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 5

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

ALISON LIEU

Nurse Practitioner (Family)