OrganizationActive
Advocare , LLC
NPI 1558928275 · Pediatric Adolescent Medicine Physician · Cliffside Park, NJ
Provider details
- NPI number
- 1558928275
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advocare , LLC
- Organization subpart
- Yes
- Authorized official
- Charles Mcqueary, Executive Vice President/Coo(856) 782-3300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
596 Anderson Ave Ste 207
Cliffside Park, NJ 07010-1856
Phone: (201) 840-9922
Street-level locationGet directions
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Other names (DBA / former)
- Other name
- Advocare Pediatric and Adolescent Medicine
Registry dates
- Enumerated
- 2019-05-29
- Last updated
- 2019-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.