NPIMap

Organization Active NPI

Senacare, LLC

  • Internal Medicine Physician
  • Mullica Hill, NJ
National Provider Identifier
1104447127
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SENACARE, LLC
Practice address
507 Mullica Hill Road
Mullica Hill, NJ 08062-2665
Phone
(609) 455-1576
NPI assigned
Apr 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony Wehbe, DONPI 1275731986
Title
Owner
Phone
(609) 455-1576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

507 Mullica Hill Road
Mullica Hill, NJ 08062-2665

Mailing address

328 Kings Highway
Clarkboro, NJ 08020-1404
Phone (609) 455-1576

Other identifiers 1

IdentifierTypeStateIssuer
0237256MedicaidNJ

Other names 1

  • Senacare Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@senacare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200519002212 NJ Part B Supplier - Clinic/Group Practice 6103257571 Receives reassigned benefits from 37 practitioners
Practice locations: Cherry Hill, NJ; Deptford, NJ; Hammonton, NJ; Mullica Hill, NJ; Stratford, NJ; Turnersville, NJ; Williamstown, NJ; Woodbury, NJ
O20211101000297 PA Part B Supplier - Clinic/Group Practice 6103257571 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

15 E Taunton Ave
Berlin, NJ 08009
Phone (609) 767-0320

1981 Old Cuthbert Rd
Cherry Hill, NJ 08034
Phone (856) 428-0685

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1104447127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 KINGS HIGHWAY",
            "city": "CLARKBORO",
            "state": "NJ",
            "postal_code": "080201404",
            "telephone_number": "609-455-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MULLICA HILL ROAD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622665",
            "telephone_number": "609-455-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "WEHBE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-455-1576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237256",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@senacare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "63 Curtmantle Rd",
            "city": "Mickleton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080561263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Senacare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Senacare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.