ADVOCARE WEST DEPTFORD PEDIATRICS - NPI 1750394474 - Pediatrics in West Deptford, NJ

Q: What is Advocare, LLC's NPI number?

The NPI number for Advocare, LLC is 1750394474. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Advocare West Deptford 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 November 19, 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 West Deptford Pediatrics NPPES

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

ADVOCARE WEST DEPTFORD PEDIATRICS (NPI 1750394474) is a healthcare organization registered as a pediatrics in West Deptford, New Jersey and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Dawn M Candia, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1750394474

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameADVOCARE, LLC

Location Address646 KINGS HWYWest Deptford, NJ 08096-3145

Mailing Address401 Route 73 N Ste 320Marlton, NJ 08053-3426 · (856) 782-3300 · Fax (856) 504-8029

Phone(856) 879-2887

Fax(856) 879-2855

Organization SubpartYes

Authorized OfficialDawn M CandiaDirector, Credentialing · (856) 872-7053

Enumeration DateAugust 14, 2006

Last NPPES UpdateNovember 19, 2021

NPPES CertifiedNovember 19, 2021

✔ NPI 1750394474 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.

646 KINGS HWY, West Deptford, NJ 08096

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Other Names 1

Doing Business AsAdvocare West Deptford Pediatrics

Other Identifiers 3

Other31D0953106Clia

Medicaid8245908NJ

Other31D0901275Clia

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 31D0901275

Advocare LLC, West Deptford Pediatrics · West Deptford, NJ

Active · expires Jan 20, 2027

CLIA Number31D0901275

Laboratory TypePhysician Office

Certificate Effective DateJanuary 21, 2025

Certificate Expiration DateJanuary 20, 2027

Laboratory DirectorCarolyn Clear

Laboratory Phone(856) 879-2887

Laboratory LocationAdvocare LLC, West Deptford Pediatrics646 Kings Highway, West Deptford, NJ 08096

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 11

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

LOUIS P MELCHIORRE JR. MD

Pediatrics