ADVOCARE MEDFORD PEDS & ADOLESCENT MED
NPI 1659383602
Pediatrics in Medford, NJ
NPI Status: Active since August 11, 2006
Contact Information
520 STOKES RD
BLDG. B10
MEDFORD, NJ
ZIP 08055
Phone: (609) 654-9112
Fax: (609) 654-7404
- Organization
- Pediatrics
- CLIA Number: 31D1105569
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-24-2025
About ADVOCARE MEDFORD PEDS & ADOLESCENT MED
This page provides the complete NPI Profile along with additional information for Advocare Medford Peds & Adolescent Med, a pediatrician established in Medford, New Jersey operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1659383602 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Advocare Medford Peds & Adolescent Med operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Advocare Medford Peds & Adolescent Med. The authorized official of this NPI record is Dr. John M Tedeschi M.d. (Ceo/chairman)
- NPI
- 1659383602
- Provider Legal Name
- ADVOCARE, LLC
- Other Organization Name
- ADVOCARE MEDFORD PEDS & ADOLESCENT MED
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 520 STOKES RD BLDG. B10 MEDFORD, NJ 08055
- Location Phone
- (609) 654-9112
- Location Fax
- (609) 654-7404
- Mailing Address
- PO BOX 3001 VOORHEES, NJ 08043
- Mailing Phone
- (856) 782-3300
- Mailing Fax
- (609) 654-7404
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-11-2006
- Last Update Date
- 08-26-2014
- Code Navigator
A pediatrician like Advocare Medford Peds & Adolescent Med 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
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080A0000X | Allopathic & Osteopathic Physicians | Pediatrics |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 077356 SK3 | MEDICARE PIN (08) | ||
| 31D1105569 | OTHER (01) | ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA | |
| 31D0118785 | OTHER (01) | ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA |
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
- 31D1105569
- Facility Type
- Physician Office
- Certificate Effective Date
- September 25, 2023
- Certificate Expiration Date
- September 24, 2025
- Laboratory Director
- CATHERINE ROSCIOLI-JONES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advocare Medford Peds & Adolescent Med 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.
Reviews for ADVOCARE MEDFORD PEDS & ADOLESCENT MED
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 3 | 8 | 3 | 6 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 6 | 8 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 6 + 8 + 6 + 6 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1659383602 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
SOUTH JERSEY NEUROCARE PA
Psychiatry & Neurology
(Neurology)
520 STOKES RD
SUITE A-4
MEDFORD, NJ
ZIP 08055
DR. HARRY E TURSE MD
Pediatrics
520 STOKES RD
IRONSTONE BLDG 10
MEDFORD, NJ
ZIP 08055
DR. ROBERT D WEITZ DO
Pediatrics
520 STOKES RD
IRONSTONE BLDG B10
MEDFORD, NJ
ZIP 08055
DR. DANIEL J FORAN DO
Pediatrics
520 STOKES RD
IRONSTONE BLDG B10
MEDFORD, NJ
ZIP 08055
DR. CHARLES A SCOTT MD
Pediatrics
520 STOKES RD
IRONSTONE BLDG B10
MEDFORD, NJ
ZIP 08055
DR. CATHERINE A ROSCIOLI- JONES MD
Pediatrics
520 STOKES RD
IRONSTONE BLDG B10
MEDFORD, NJ
ZIP 08055
DR. JENNIFER L BUCCIGROSSI MD
Pediatrics
(Adolescent Medicine)
520 STOKES RD
IRONSTONE BLDG B10
MEDFORD, NJ
ZIP 08055
DR. REBECCA A REED DO
Pediatrics
520 STOKES RD
IRONSTONE BLDG B10
MEDFORD, NJ
ZIP 08055
DR. LAWRENCE FRANK VERNAMONTI OD
Optometrist
520 STOKES RD
SUITE B4
MEDFORD, NJ
ZIP 08055
DR. JASON OKULEY DDS
Dentist
(General Practice)
520 STOKES RD
BUILDING B-18
MEDFORD, NJ
ZIP 08055
DR. PETER DUCA DMD
Dentist
(General Practice)
520 STOKES RD
BUILDING B-18
MEDFORD, NJ
ZIP 08055
DR. ERIKA E RYAN PH.D.
Psychologist
520 STOKES RD
IRONSTONE BUILDING A6
MEDFORD, NJ
ZIP 08055
MR. MICHAEL JOHN ADORNETTO M.S.W., L.C.S.W.
Social Worker
(Clinical)
520 STOKES RD
SUITE C-4
MEDFORD, NJ
ZIP 08055
MEDFORD CHILDREN'S DENTAL CENTER, PC
Dentist
(Pediatric Dentistry)
520 STOKES RD
SUITE B 18
MEDFORD, NJ
ZIP 08055
DR. WANDA I COSS MD
Pediatrics
520 STOKES RD
IRONSTONE BUILDING B10
MEDFORD, NJ
ZIP 08055
ELIZABETH M. RAYMOND M.S.
Psychologist
520 STOKES RD
SUITE B6
MEDFORD, NJ
ZIP 08055
SUBURBAN FAMILY DENTAL PC
Dentist
(General Practice)
520 STOKES RD
BUILDING B-18
MEDFORD, NJ
ZIP 08055
PETER R. DUCA, JR., DMD PC
Dentist
(General Practice)
520 STOKES RD
BUILDING B-18
MEDFORD, NJ
ZIP 08055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659383602, enumerated as an "organization" on August 11, 2006.
The provider is located at 520 STOKES RD BLDG. B10 MEDFORD, NJ 08055 and the phone number is (609) 654-9112.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
