Individual provider Active NPI

Loveness Jacob Kaale-Senelorm, PHARM.D

  • Pharmacist
  • Passaic, NJ
National Provider Identifier
1689997983
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054350 Issued in NY
Practice address
78 Main Ave
Passaic, NJ 07055-4466
Phone
(973) 778-0971
NPI assigned
Mar 1, 2010
Last updated
Mar 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03247700 NJ
Pharmacist 183500000X 054350 NY Primary

Addresses

Primary practice location

78 Main Ave
Passaic, NJ 07055-4466

Mailing address

18 Metropolitan Oval Apt 5D
Bronx, NY 10462-6791
Phone (973) 752-8272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03247700NJMDPharmacist
054350NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1689997983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 METROPOLITAN OVAL APT 5D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626791",
            "telephone_number": "973-752-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554466",
            "telephone_number": "973-778-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAALE-SENELORM",
        "first_name": "LOVENESS",
        "middle_name": "JACOB",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03247700",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.