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

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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