Susan A Senese, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB58648 Issued in NJ

Practice address

Jimmie Leeds Road
Richard Stockton College of NJ
Pomona, NJ 08240

Phone

(609) 652-4701

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992809198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEADOWBROOK DR",
            "city": "SHAMONG",
            "state": "NJ",
            "postal_code": "080889529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JIMMIE LEEDS ROAD",
            "address_2": "RICHARD STOCKTON COLLEGE OF NJ",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-652-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENESE",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB58648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agatona Belen Salita, MD
• Conrado Manalo Sampedro, APN
• Maritza Sanchez
• Catherine Rose Scheuch, PA-C
• Susan Schrenk, CRNA
• Sudha Satish Shah
• Alexandra Sherman
• Azam Siddiqui
• Salman Hamid Siddiqui, MD
• Gregory Smallwood, D.C.

• Family Medicine Physician in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.