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ADVOCARE LLC NPI 1174062681


NPI Information

NPI: 1174062681
Provider Name: ADVOCARE, LLC

Other Name: ADVOCARE NORTH JERSEY PEDIATIRCS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 31D0109811

Address:
17-10 FAIR LAWN AVE
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 794-8585
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ADVOCARE, LLC is a pediatrics in Fair Lawn, NJ. The provider is 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. ADVOCARE, LLC NPI is 1174062681. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Advocare North Jersey Pediatircs.

The provider's business location address is:

17-10 FAIR LAWN AVE
FAIR LAWN, NJ
ZIP 07410-324
Phone: (201) 794-8585
Fax: (201) 703-9889

The provider's authorized official is Chuck Mcqueary .
The authorized official title is Executive Vp And Coo and has the following contact phone number (856) 872-7055.

The CLIA number assigned to this NPI record is 31D0109811 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2017 and was last updated on 9/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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