Active NPI
Maureen B Jennings, D.P.M.
- Podiatrist
- Brick, NJ
National Provider Identifier
1386643500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD001868
- Practice address
- 1451 Route 88
Suite 8a
Brick, NJ 08724-2371 - Phone
- (732) 458-4911
- Fax
- (732) 458-4922
- NPI assigned
- Jul 19, 2005
- Reactivated
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD001868 | NJ | Primary |
Addresses
Primary practice location
1451 Route 88
Suite 8a
Brick, NJ 08724-2371
Mailing address
1451 Route 88
Suite 8a
Brick, NJ 08724-2371
Phone (732) 458-4911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD001868 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean County Foot & Ankle Surgical Associates | Podiatrist | 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.
-
- Podiatrist
- Manasquan, NJ
- NPI 1669359550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1386643500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 ROUTE 88",
"address_2": "SUITE 8A",
"city": "BRICK",
"state": "NJ",
"postal_code": "087242371",
"telephone_number": "732-458-4911",
"fax_number": "732-458-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 ROUTE 88",
"address_2": "SUITE 8A",
"city": "BRICK",
"state": "NJ",
"postal_code": "087242371",
"telephone_number": "732-458-4911",
"fax_number": "732-458-4922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "MAUREEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2007-11-07",
"deactivation_date": "2006-04-05",
"reactivation_date": "2006-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD001868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
- Alexis Jaskowski, D.P.T.
- Jasper Ambulatory Surgical Center LLC
- Je & Sons LLC
- Jeffrey Urban DMD, LLC
- Gloria Ann Jennings, MD
- Alicia Jerome, M.A.CCC-SLP
- Jersey Coast Family Medicine LLC
- Jersey Coast Family Medicine LLC
- Jersey Coast Nephrology and Hypertension Associates LLC
- Jersey Coast Vascular Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.