Provider Demographics
NPI:1881767390
Name:SENESE, KAREN (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:SENESE
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 1:520 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-7444
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:08753-7444
Practice Address - Country:US
Practice Address - Phone:732-557-4147
Practice Address - Fax:732-557-4147
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA677292084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0007274403OtherAETNA PROVIDER NUMBER
NJ228492OtherMHN PROVIDER NUMBER
NJ279741000OtherAMERIHEALTH PROVIDER NUMB
NJ2032377000OtherAMERIHEALTH PPO PROVIDER
NJ214099000OtherMAGELLAN PROVIDER NUMBER
NJ2032377000OtherAMERIHEALTH PPO PROVIDER
NJG85661Medicare UPIN