Provider Demographics
NPI:1851328181
Name:BELETE, SENAYIT G (MD)
Entity Type:Individual
Prefix:
First Name:SENAYIT
Middle Name:G
Last Name:BELETE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 BOARDWALK TOWER 1
Mailing Address - Street 2:SUITE 3201
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-5161
Mailing Address - Country:US
Mailing Address - Phone:609-289-8429
Mailing Address - Fax:
Practice Address - Street 1:3101 BOARDWALK TOWER 1
Practice Address - Street 2:SUITE 3201
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-5100
Practice Address - Country:US
Practice Address - Phone:609-289-8429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA075338400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH71246Medicare UPIN