ADVOCARE , LLC (NPI# 1386288702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386288702 |
| Entity Type | Organization |
| Organization Name | ADVOCARE , LLC |
| Practice Address |
2000 Hamilton St Ste 109 Philadelphia PA 19130-3847 |
| Mailing Address |
401 Route 73 N Ste 320 Marlton NJ 08053-3426 |
| Practice Telephone | 2157741166 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | CHARLES MCQUEARY (EXECUTIVE VP AND COO) |
| Authorized Official Telephone | 8568727052 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOCARE , LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advocare Fairmount Pediatrics and Adolescent Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443611 | Advocare, LLC | Pediatrics | 225 Highway 35 Ste 102, Red Bank, NJ 07701-5919 | 2020-09-29 |
| 1992316715 | Advocare, LLC | Pediatrics | 241 Molnar Dr Ste 202, Elmwood Park, NJ 07407-3200 | 2020-08-14 |
| 1992313746 | Advocare, LLC | Internal Medicine | 750 Route 73 S Ste 201a, Marlton, NJ 08053-4133 | 2020-07-17 |
| 1477161578 | Advocare, LLC | Allergy & Immunology | 1 Eves Dr Ste 109, Marlton, NJ 08053-3125 | 2020-07-15 |
| 1699391565 | Advocare, LLC | Allergy & Immunology | 23-00 Route 208 Ste 2-1, Fair Lawn, NJ 07410-1558 | 2020-06-17 |
| 1154954139 | Advocare, LLC | Pediatrics | 6611 Winchester Ave, Ventnor City, NJ 08406-2159 | 2020-02-18 |
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| 1407492127 | Advocare, LLC | Internal Medicine | 250 W Lancaster Ave Ste 200, Paoli, PA 19301-1751 | 2019-11-19 |
| 1487298907 | Advocare, LLC | Pediatrics | 390 Amwell Rd Ste 106, Hillsborough, NJ 08844-1226 | 2019-10-29 |
| 1396302014 | Advocare, LLC | Internal Medicine | 256 Bunn Dr Ste D, Princeton, NJ 08540-2859 | 2019-05-29 |
| Street Address |
2000 HAMILTON ST STE 109 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1831427319 | Ellis H Sacks | Pediatrics | 2138 Lombard St, Apt 3b, Philadelphia, PA 19146-1261 | 2009-11-23 |
| 1144865791 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-07 |
| 1346884756 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
| 1033647250 | Gladyne Confident | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-06-01 |
| 1104279694 | Rosheen Mary Grady | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-07-19 |
| 1235516006 | Shelby Hannah Davies | Pediatrics | 3401 Civic Center Blvd, Division of Adolescent Medicine, Philadelphia, PA 19104 | 2015-04-30 |
| 1326459371 | Philadelphia Women's Center, Inc. | Pediatrics | 777 Appletree St, 7th Floor, Philadelphia, PA 19106-1526 | 2014-05-13 |
| 1447677992 | Drisana Henry | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-03-22 |
| 1053680827 | Philadelphia Health and Education Corp | Pediatrics | 3601 A St, Nelson Pavillion, 2nd Floor, Family Planning, Philadelphia, PA 19134-1043 | 2011-12-22 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
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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.