MEDICARE: KAREN B LOONEY-MASTERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	37PC00634500	NJ

General Provider Information

NPI Number	:	1588523542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN B LOONEY-MASTERSON

Provider Business Mailing Address
First Line	:	44 LAKETOWN RD
Second Line	:
City	:	LONG VALLEY
State	:	NJ
Zip	:	07853-3216
Country	:	US
Telephone Number	:	908-246-4011
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 LAKETOWN RD
Second Line	:
City	:	LONG VALLEY
State	:	NJ
Zip	:	07853-3216
Country	:	US
Telephone Number	:	908-246-4011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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