ADVOCARE, LLC (NPI# 1770594053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770594053 |
| Entity Type | Organization |
| Organization Name | ADVOCARE, LLC |
| Other Organization Name | ADVOCARE BROOMALL PEDIATRIC ASSOCIATES |
| Practice Address |
1246 W Chester Pike Suite 303 West Chester PA 19382-5683 |
| Mailing Address |
Po Box 3001 Voorhees NJ 08043-0598 |
| Practice Telephone | 6106922605 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MR. CHARLES MCQUEARY (CEO) |
| Authorized Official Telephone | 8567823300 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 39D0203503 | 01 |
| Other Name | Type Code |
|---|---|
| Advocare Broomall Pediatric Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154838878 | Advocare, LLC | Pediatrics | 5401 Harding Hwy Ste 6, Mays Landing, NJ 08330-2243 | 2018-01-03 |
| 1740796978 | Advocare, LLC | Specialist | 600 Marlton Pike W Ste C, Cherry Hill, NJ 08002-3598 | 2017-12-26 |
| 1396251245 | Advocare, LLC | Pediatrics | 20 White Rd Ste D, Shrewsbury, NJ 07702-4039 | 2017-12-14 |
| 1629597034 | Advocare, LLC | Pediatrics | 550 Newark Ave Ste 409, Jersey City, NJ 07306-1326 | 2017-09-18 |
| 1730548306 | Advocare, LLC | Case Management | 3201 Stellhorn Rd, Suite A-143, Fort Wayne, IN 46815-4697 | 2016-02-11 |
| 1467868208 | Advocare, LLC | Internal Medicine | 300 Madison Ave Ste 201, 3rd Floor, Madison, NJ 07940-1868 | 2014-07-01 |
| 1073932364 | Advocare, LLC | Internal Medicine | 204 Ark Rd Ste 206, Larchmont Medical Center 1, Mount Laurel, NJ 08054-3100 | 2014-04-15 |
| 1508142936 | Advocare, LLC | Obstetrics & Gynecology | 1000 Salem Rd Ste B, Rancocas Medical Center, Willingboro, NJ 08046-2852 | 2011-10-31 |
| 1013298702 | Advocare, LLC | Obstetrics & Gynecology | 903 Sheppard Rd, Voorhees, NJ 08043-4695 | 2011-09-08 |
| 1700164936 | Advocare, LLC | Pediatrics | 1403 Route 23, Butler, NJ 07405-1635 | 2011-07-21 |
| Street Address |
1246 W CHESTER PIKE SUITE 303 |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19382-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316602 | Marjorie Saul | Psychiatry & Neurology | 1246 W Chester Pike, Suite 308, West Chester, PA 19382-5683 | 2005-09-12 |
| 1437335387 | Patricia Reiter Becker | Nurse Practitioner | 1246 W Chester Pike, 303, West Chester, PA 19382-5683 | 2008-01-10 |
| 1588741813 | Jane Grosser Montgomery | Dentist | 1246 W Chester Pike, #306, West Chester, PA 19382-5683 | 2006-11-01 |
| 1699874784 | Richard A. Tanzilli, II, D.m.d., P.C. | Dentist | 1246 W Chester Pike, Suite 306, West Chester, PA 19382-5683 | 2006-09-22 |
| 1194824268 | Richard Tanzilli II | Dentist | 1246 W Chester Pike, Suite 306, West Chester, PA 19382-5683 | 2006-09-22 |
| 1790715357 | Rosemary Giacobbe | Pediatrics | 1246 W Chester Pike, Suite 303, West Chester, PA 19382-5683 | 2006-07-03 |
| 1235168600 | Halette Lasker Anderson | Pediatrics | 1246 W Chester Pike, Suite 303, West Chester, PA 19382-5683 | 2006-06-30 |
| 1780613158 | Joseph D. Becker | Pediatrics | 1246 W Chester Pike, Suite 303, West Chester, PA 19382-5683 | 2006-06-30 |
| 1821027178 | Manyan Ng | Pediatrics | 1246 W Chester Pike, Suite 303, West Chester, PA 19382-5683 | 2006-06-30 |
| 1548296965 | Lisa O'mahony | Pediatrics | 1246 W Chester Pike, Suite 303, West Chester, PA 19382-5683 | 2006-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448331 | Manasi Sheth | Occupational Therapist | Brandywine Hall, 800 W. Miner Street, West Chester, PA 19382 | 2020-05-11 |
| 1700410669 | Emily Schmidt | Specialist/Technologist | 855 S New Street, West Chester, PA 19382 | 2020-02-28 |
| 1366902124 | Donna Sabella Monheit | Registered Nurse | 501 S. Wawaset Road, West Chester, PA 19382 | 2019-03-20 |
| 1992202642 | Elizabeth Dayton | Behavioral Analyst | 2014 Valley Dr, West Chester, PA 19382 | 2018-04-10 |
| 1093237463 | Nadia Alsamadi | Counselor | 201 North Bradford Ave. Apt. C4, West Chester, PA 19382 | 2017-07-07 |
| 1902354186 | Aja Penn | Audiologist | 1396 Wilmington Pike Ste 2, West Chester, PA 19382 | 2016-09-15 |
| 1831551704 | Nutritional Graces LLC | Dietitian, Registered | 437 Sharpless St., West Chester, PA 19382 | 2016-03-22 |
| 1316347164 | The Training Room of Garnet Valley, LLC | Clinic/Center | 11 Forelock Court, West Chester, PA 19382 | 2014-08-29 |
| 1659770360 | Tamara Eiseman | Occupational Therapist | 200 Skiles Blvd., West Chester, PA 19382 | 2014-08-19 |
| 1356761886 | Kevin Alan Keene | Specialist/Technologist | 855 South New Street, West Chester, PA 19382 | 2014-04-23 |
| Find all providers in zip 19382 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1558519298 | Richard Michael Haupt | Pediatrics | 684 Militia Hill Dr, West Chester, PA 19382-8701 | 2008-09-06 |
| 1770709925 | Gail B. Croall | Pediatrics | 9050 Center Pointe, Suite 400, West Chester, OH 45069 | 2007-04-17 |
| 1790841732 | Sara Verghese | Pediatrics | 9902 West Roosevelt Road, West Chester, IL 60154-2770 | 2006-12-27 |
| 1639259583 | Children's Hospital of Philadelphia | Pediatrics | 770 Miles Road, Suite 1, West Chester, PA 19380-4400 | 2006-10-16 |
| 1467542977 | Camille Cecile Graham | Pediatrics | 7777 University Dr Ste D, West Chester, OH 45069-6563 | 2006-10-13 |
| 1639260169 | Theresa M Derickson | Pediatrics | 8040 Princeton-glendale Rd., West Chester, OH 45069-0000 | 2006-09-28 |
| 1639182363 | Neil Pennington | Pediatrics | 795 East Marshall Street, Suite 301-307, West Chester, PA 19380 | 2006-08-14 |
| 1518974831 | Mary Ellen Skalina | Pediatrics | 701 E Marshall St Fl 2, Chester County Hospital - Chop Connection, West Chester, PA 19380-4412 | 2006-08-01 |
| 1831105642 | Barbara H Stipe | Pediatrics | 701 E Marshall St Fl 4, Chop Care Network At Chester County Hospital, West Chester, PA 19380-4412 | 2006-08-01 |
| 1437173721 | Richard Rissmiller | Pediatrics | 440 East Marshall Rd, 3rd Flr North, Suite 300, West Chester, PA 19380 | 2006-07-27 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 19382 |
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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.