Organization Active NPI

Quality Care Pediatrics, LLC.

  • Pediatrics Physician
  • Northfield, NJ
National Provider Identifier
1225088917
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
QUALITY CARE PEDIATRICS, LLC.
Practice address
1750 Zion Rd
Suite 204
Northfield, NJ 08225-1844
Phone
(609) 641-7008
Fax
(609) 641-7028
NPI assigned
May 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria C Molina, M.D.NPI 1144279571
Title
Owner
Phone
(609) 641-7008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1750 Zion Rd
Suite 204
Northfield, NJ 08225-1844

Mailing address

PO Box 8505
Cherry Hill, NJ 08002-0505
Phone (856) 755-1616

Other identifiers 2

IdentifierTypeStateIssuer
149849OtherAETNA HMO
2150788001OtherNJAMERIHEALTH HMO/PPO

National Provider Directory

National Provider Directory

Locations

1750 Zion Rd
Ste 204
Northfield, NJ 08225
Phone (609) 641-7008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225088917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8505",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080020505",
            "telephone_number": "856-755-1616",
            "fax_number": "856-755-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ZION RD",
            "address_2": "SUITE 204",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251844",
            "telephone_number": "609-641-7008",
            "fax_number": "609-641-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PEDIATRICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-641-7008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "149849",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO/PPO",
            "identifier": "2150788001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.