ADVOCARE (NPI# 1326294273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326294273 |
| Entity Type | Organization |
| Organization Name | ADVOCARE |
| Other Organization Name | ADVOCARE MEDFORD STATION INTERNAL MEDICINE |
| Practice Address |
69 N Main St Medford NJ 08055-2718 |
| Mailing Address |
Po Box 3001 Voorhees NJ 08043-0598 |
| Practice Telephone | 6099539000 |
| Practice Fax Number | 6099539696 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | DR. JOHN M. TEDESCHI (CEO/ CHAIRMAN) |
| Authorized Official Telephone | 8567823300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 31D0118747 | 01 |
| Other Name | Type Code |
|---|---|
| Advocare Medford Station Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073785655 | Advocare | Preventive Medicine | 979 N Black Horse Pike, Williamstown, NJ 08094-1044 | 2008-03-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Advocare Holdings LLC | 151 E 5600 S Ste 100, Salt Lake City, UT 84107 |
| Colorado Business Entities | Advocare LLC | 12231 Magnolia Way, Brighton, CO 80602 |
| Washington State Corporations | ADVOCARE MEDICAL STAFFING AGENCY INC | 1609 Central Ave S Ste P, Kent, WA 98032-7401 |
| New York State Corporations | ADVOCARE NY LLC | 3611 14th Ave, Suite 209b, Brooklyn, Ny 11218 |
| Oklahoma Business Registrations | ADVOCARE OF TENNESSEE, INC. | 6950 Columbia Gateway Dr, Columbia, MD 21046 |
| Colorado Business Entities | advocare p.c. | 757 E 20th Ave, Suite 370 #520, Denver, CO 80205 |
| Street Address |
69 N MAIN ST |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932679297 | Southern Oregon Medical Clinic LLC | Internal Medicine | 537 Murphy Rd Ste B, Medford, OR 97504-8187 | 2018-11-29 |
| 1043714876 | Winchester Wound Care Specialists Pllc | Internal Medicine | 75 Riverside Ave Ste 4, Medford, MA 02155-4600 | 2018-03-19 |
| 1124387600 | John Retzlaff | Internal Medicine | 6959 Pineridge Dr, Medford, OR 97504-9234 | 2012-05-03 |
| 1144511643 | John Michael Malleis | Internal Medicine | 2859 State St Ste 102, Medford, OR 97504-8495 | 2011-05-02 |
| 1144543687 | Robert P. Williamson Md, P.C. | Internal Medicine | 43 Forest St, Medford, MA 02155-3128 | 2010-03-11 |
| 1104013572 | Cooper Physician Offices | Internal Medicine | 13 Tomlinson Rd, Medford, NJ 08055 | 2007-10-01 |
| 1629196381 | Robin Miller | Internal Medicine | 760 Golf View Dr, Medford, OR 97504-9685 | 2007-03-27 |
| 1225153042 | Stacey Sperling | Internal Medicine | Tufts University Health Svcs, Medford, MA 02155 | 2007-03-20 |
| 1790841666 | James Glass | Internal Medicine | 103 Old Marlton Pike Ste 111, Medford, NJ 08055-8772 | 2006-12-28 |
| 1235225129 | George Schultz | Internal Medicine | 2900 Doctors Park Dr Ste 200, Medford, OR 97504-8198 | 2006-10-05 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.