ADVOCARE, LLC (NPI# 1659383602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659383602 |
| Entity Type | Organization |
| Organization Name | ADVOCARE, LLC |
| Other Organization Name | ADVOCARE MEDFORD PEDS & ADOLESCENT MED |
| Practice Address |
520 Stokes Rd Bldg. B10 Medford NJ 08055-2904 |
| Mailing Address |
Po Box 3001 Voorhees NJ 08043-0598 |
| Practice Telephone | 6096549112 |
| Practice Fax Number | 6096547404 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-08-26 |
| 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 |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA | 31D0118785 | 01 | |
| ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA | 31D1105569 | 01 |
| Other Name | Type Code |
|---|---|
| Advocare Medford Peds & Adolescent Med | 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 |
520 STOKES RD BLDG. B10 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265416317 | South Jersey Neurocare Pa | Psychiatry & Neurology | 520 Stokes Rd, Suite A-4, Medford, NJ 08055-2904 | 2005-12-02 |
| 1114200912 | Medford Children's Dental Center, PC | Dentist | 520 Stokes Rd, Suite B 18, Medford, NJ 08055-2904 | 2011-09-28 |
| 1861623977 | Elizabeth M. Raymond | Psychologist | 520 Stokes Rd, Suite B6, Medford, NJ 08055-2904 | 2009-08-06 |
| 1366618308 | Michael John Adornetto | Social Worker | 520 Stokes Rd, Suite C-4, Medford, NJ 08055-2904 | 2008-04-30 |
| 1235229485 | Erika E Ryan | Psychologist | 520 Stokes Rd, Ironstone Building A6, Medford, NJ 08055-2904 | 2006-10-16 |
| 1750489068 | Peter Duca | Dentist | 520 Stokes Rd, Building B-18, Medford, NJ 08055-2904 | 2006-09-20 |
| 1639286115 | Peter R. Duca, Jr., Dmd PC | Dentist | 520 Stokes Rd, Building B-18, Medford, NJ 08055-2904 | 2006-08-23 |
| 1811002025 | Jason Okuley | Dentist | 520 Stokes Rd, Building B-18, Medford, NJ 08055-2904 | 2006-08-20 |
| 1306951546 | Suburban Family Dental PC | Dentist | 520 Stokes Rd, Building B-18, Medford, NJ 08055-2904 | 2006-08-20 |
| 1649211327 | Lawrence Frank Vernamonti | Optometrist | 520 Stokes Rd, Suite B4, Medford, NJ 08055-2904 | 2006-06-10 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| 1538435417 | Stefanie T Ogawa | Pediatrics | 840 Royal Ave Ste 110, Medford, OR 97504-6461 | 2012-03-26 |
| 1629150420 | Michael A Davis | Pediatrics | 840 Royal Ave, Suite 110, Medford, OR 97504-6461 | 2006-10-20 |
| 1154424158 | Laura Balestreri | Pediatrics | 1322 E Mcandrews Rd Ste 202, Medford, OR 97504-6177 | 2006-09-06 |
| 1174630263 | Jennifer Ann Nastasi | Pediatrics | 2799 Route 112 Ste 11, Medford, NY 11763-2535 | 2006-08-24 |
| 1225076722 | Jay Iype | Pediatrics | 2799 Route 112, Suite #11, Medford, NY 11763 | 2006-06-04 |
| 1730144221 | James Alan Frierson | Pediatrics | 1322 E Mcandrews Rd, Ste 202, Medford, OR 97504-6177 | 2006-04-19 |
| 1992765804 | Barbara J Sibley | Pediatrics | 750 Murphy Road, Medford, OR 97504 | 2006-03-24 |
| 1760470207 | Laurel Bell | Pediatrics | 2825 E. Barnett Rd, Medford, OR 97504-8179 | 2005-10-10 |
| 1881687804 | David Andrew Bross | Pediatrics | Mystic Valley Pediatrics, 75 Riverside Avenue, Suite 2, Medford, MA 02155 | 2005-08-24 |
| 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.