ADVOCARE, LLC (NPI# 1780696732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780696732 |
| Entity Type | Organization |
| Organization Name | ADVOCARE, LLC |
| Other Organization Name | ADVOCARE MERCHANTVILLE PEDIATRICS |
| Practice Address |
1600 Chapel Ave W Suite 100 Cherry Hill NJ 08002-2814 |
| Mailing Address |
Po Box 3001 Voorhees NJ 08043-0598 |
| Practice Telephone | 8566657337 |
| Practice Fax Number | 8566658246 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | DR. JOHN M. TEDESCHI (CEO/CHAIRMAN) |
| Authorized Official Telephone | 8567823300 |
| Authorized Official Credential | M.D. |
| 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 | 31D0707941 | 01 |
| Other Name | Type Code |
|---|---|
| Advocare Merchantville Pediatrics | 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 |
1600 CHAPEL AVE W SUITE 100 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| 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 |
|---|---|---|---|---|
| 1811301443 | Sheela Kapoor | Pediatrics | 1824 Country Club Drive, Cherry Hill, NJ 08003 | 2014-06-11 |
| 1124310834 | Harry Jack Sacks | Pediatrics | 323 Kings Croft, Cherry Hill, NJ 08034-1101 | 2011-05-12 |
| 1962723734 | James Bruce Burnett | Pediatrics | 100 Sawmill Rd, Cherry Hill, NJ 08034-2704 | 2010-06-16 |
| 1922339738 | Chitra Sp Dharmar | Pediatrics | 377 Tavistock, Cherry Hill, NJ 08034-4027 | 2010-01-18 |
| 1982762167 | Bruce Taubman | Pediatrics | 600 Marlton Pike W, Cherry Hill, NJ 08002-3598 | 2006-12-04 |
| 1346297611 | Jerry S Ehrlich | Pediatrics | 1999 Marlton Pike E, Suite 3, Cherry Hill, NJ 08003-1825 | 2006-05-30 |
| 1689638520 | Jason S Weber | Pediatrics | 1949 Marlton Pike E Ste 1, 504 White Horse Pike, Cherry Hill, NJ 08003-2121 | 2006-04-17 |
| 1144284266 | Cyrus Mohazzebi | Pediatrics | 710 Kresson Rd, Cherry Hill, NJ 08003-2604 | 2006-04-14 |
| 1477517605 | John B Tedeschi | Pediatrics | 1949 Route 70 E, Wexford Medical Center, Cherry Hill, NJ 08003-2145 | 2006-04-14 |
| 1396708137 | Julie C Ayres | Pediatrics | 1949 Marlton Pike E, Ste 1, Cherry Hill, NJ 08003-2145 | 2006-04-11 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
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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.