Provider Demographics
NPI:1144520073
Name:KAREN SENESE MD LLC
Entity type:Organization
Organization Name:KAREN SENESE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SENESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-557-4147
Mailing Address - Street 1:520 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-7420
Mailing Address - Country:US
Mailing Address - Phone:732-557-4147
Mailing Address - Fax:732-557-4147
Practice Address - Street 1:520 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7420
Practice Address - Country:US
Practice Address - Phone:732-557-4147
Practice Address - Fax:732-557-4147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA067729002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ228492OtherMHN
NV0007274403OtherAETNA
NJ161514OtherVALUE OPTIONS
NJ214099000OtherMAGELLAN
NJ7727909Medicaid
NJ7727909Medicaid
NV0007274403OtherAETNA