Active NPI
Parents Baby Triad
- Neonatal-Perinatal Medicine Physician
- Holmdel, NJ
National Provider Identifier
1134856289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- PARENTS BABY TRIAD
- Practice address
- 1 Tranquility CT
Holmdel, NJ 07733-2413 - Phone
- (917) 733-2505
- NPI assigned
- Aug 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle Quan, MD
- Title
- Managing Member
- Phone
- (914) 733-2505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary |
Addresses
Primary practice location
1 Tranquility CT
Holmdel, NJ 07733-2413
Mailing address
1 Tranquility CT
Holmdel, NJ 07733-2413
Phone (917) 733-2505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA11429500 | Other | NJ | NJ STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1134856289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TRANQUILITY CT",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332413",
"telephone_number": "917-733-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TRANQUILITY CT",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332413",
"telephone_number": "917-733-2505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARENTS BABY TRIAD",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "QUAN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "914-733-2505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE LICENSE",
"identifier": "25MA11429500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.