Active NPI
Loveness Jacob Kaale-Senelorm, PHARM.D
- Pharmacist
- Passaic, NJ
National Provider Identifier
1689997983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054350
- Practice address
- 78 Main Ave
Passaic, NJ 07055-4466 - Phone
- (973) 778-0971
- NPI assigned
- Mar 1, 2010
- Last updated
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03247700 | NJ | MD | Pharmacist |
| 054350 | NY | MD | Pharmacist |
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.