Active NPI
Anthony S Jennings, MD
- Endocrinology, Diabetes & Metabolism Physician
- Cherry Hill, NJ
National Provider Identifier
1962490243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 25MA03158700
- Practice address
- 27 Covered Bridge Rd
Cherry Hill, NJ 08034-2945 - Phone
- (856) 428-6768
- Fax
- (856) 429-1926
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MA03158700 | NJ | Primary |
Addresses
Primary practice location
27 Covered Bridge Rd
Cherry Hill, NJ 08034-2945
Mailing address
110 Willow Way
Cherry Hill, NJ 08034-3049
Phone (856) 428-6768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5454000 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051024000278 | NJ | Practitioner - Endocrinology | 1052337573 | Practice locations: Cherry Hill, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Emory University School of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27 Covered Bridge Rd
Cherry Hill, NJ 08034-2945
Phone (856) 428-6768
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.05 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1962490243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WILLOW WAY",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343049",
"telephone_number": "856-428-6768",
"fax_number": "856-429-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COVERED BRIDGE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342945",
"telephone_number": "856-428-6768",
"fax_number": "856-429-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "ANTHONY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MA03158700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5454000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.