Active NPI
Gloria Ann Jennings, MD
- Pediatric Adolescent Medicine Physician
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MA05182000
- Practice address
- 1301 Route 70
Brick, NJ 08724-2670 - Phone
- (732) 892-8700
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MA05182000 | NJ | Primary |
Addresses
Primary practice location
1301 Route 70
Brick, NJ 08724-2670
Mailing address
1301 Route 70
Brick, NJ 08724-2670
Phone (732) 892-8700
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA05182000 | NJ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Affiliates PA | Current | Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients |
Locations
218 Jack Martin Blvd
Bldg E1
Brick, NJ 08724
1301 Route 70
Brick, NJ 08724
Phone (732) 892-8700
400 Madison Ave
Lakewood, NJ 08701
Phone (732) 363-0800
870 River Ave
Lakewood, NJ 08701
Phone (732) 363-9440
40 Bey Lea Rd
Toms River, NJ 08753
Phone (732) 341-0720
40 Bey Lea Rd
Ste B203
Toms River, NJ 08753
Phone (732) 341-0720
Interoperability endpoints
- gloriaannjennings@pediatricaff.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Toms River, NJ
- NPI 1669404018
-
dba Jersey Shore University Medical Center
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1770506602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 ROUTE 70",
"city": "BRICK",
"state": "NJ",
"postal_code": "087242670",
"telephone_number": "732-892-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 ROUTE 70",
"city": "BRICK",
"state": "NJ",
"postal_code": "087242670",
"telephone_number": "732-892-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "GLORIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "MA05182000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.