Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John C. Mirmanesh, MD

Individual provider Pediatrics Physician · NPI 1780811034

Dr. John C. Mirmanesh, MD is a Pediatric Medicine in Marlton, New Jersey. Qualified in 2009, 17 years ago. Practices with Advocare, LLC, a 385-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
17
Licensed in
MD
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12000 Lincoln Dr W Ste 311
Marlton, NJ 08053-3405
Phone: (856) 985-8100
Fax: (856) 985-0178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence P24028 (MD)

Record details

NPI number1780811034
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2009
Last updated in NPPESDecember 29, 2011
Mailing address12000 Lincoln Dr W Ste 311, Marlton, NJ 08053-3405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Advocare, Llc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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