ADVOCARE LLC NPI 1659383602

NPI Information

NPI: 1659383602
Provider Name: ADVOCARE, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Doing Business As: ADVOCARE MEDFORD PEDS & ADOLESCENT MED
CLIA Number: 31D1105569
Address: 520 STOKES RD
BLDG. B10
MEDFORD, NJ
ZIP 08055
Phone: (609) 654-9112

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NPI Details

ADVOCARE, LLC is a pediatrics in Medford, 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 1659383602. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advocare Medford Peds & Adolescent Med.

The provider's business location address is:

520 STOKES RD
BLDG. B10
MEDFORD, NJ
ZIP 08055-904
Phone: (609) 654-9112
Fax: (609) 654-7404

The provider's authorized official is John M Tedeschi .
The authorized official title is Ceo/chairman and has the following contact phone number (856) 782-3300.

The CLIA number assigned to this NPI record is 31D1105569 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/26/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine			No
2	208000000X	Pediatrics				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	077356 SK3	MEDICARE PIN
2	31D1105569	OTHER	ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA
3	31D0118785	OTHER	ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA

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: 11/21/2025

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