# ADVOCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advocare New Jersey Spine and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386096030
- **Authorized official:** MR. CHUCK MCQUEARY (PRESIDENT)
- **Authorized official phone:** (856) 504-8028

## Contact information

- **Practice address:** 84 ORIENT WAY, RUTHERFORD, NJ 07070-2052
- **Practice address phone:** (201) 964-0200
- **Practice address fax:** (201) 964-0220
- **Mailing address:** PO BOX 3001, VOORHEES, NJ 08043-0598
- **Mailing address phone:** (856) 782-3300
- **Mailing address fax:** (856) 762-1751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 07/06/2016
- **Last updated:** 07/06/2016