Individual provider Active NPI

Michelle S. Parris, MD

  • Pediatrics Physician
  • Oakland, NJ
National Provider Identifier
1386374155
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA12780400 Issued in NJ
Practice address
350 Ramapo Valley Rd
Oakland, NJ 07436-2702
Phone
(201) 651-0404
Fax
(201) 651-0909
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA12780400 NJ Primary

Addresses

Primary practice location

350 Ramapo Valley Rd
Oakland, NJ 07436-2702

Mailing address

32 Franklin St
Tenafly, NJ 07670-2005

Other practice location 1

26 Park Pl
Paramus, NJ 07652-3633
Phone (201) 262-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627002204 RI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1052790722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12780400NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenafly Pediatrics Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1386374155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FRANKLIN ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362702",
            "telephone_number": "201-651-0404",
            "fax_number": "201-651-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Park Pl",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523633",
            "country_code": "US",
            "telephone_number": "201-262-1140",
            "fax_number": "201-261-8413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "MICHELLE",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12780400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

Verify at the official NPI Registry.