Sovereignty Support Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOVEREIGNTY SUPPORT SERVICES LLC

Practice address

70 W Grand St
Elizabeth, NJ 07202-1988

Phone

(862) 233-3596

Fax

(888) 767-9772

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Lennox Alphanso Mars Jr., MPA

Title

Executive Director

Phone

(862) 233-3596

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1700319845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W GRAND ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021988",
            "telephone_number": "862-233-3596",
            "fax_number": "888-767-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W GRAND ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021988",
            "telephone_number": "862-233-3596",
            "fax_number": "888-767-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGNTY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "LENNOX",
        "authorized_official_middle_name": "ALPHANSO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "862-233-3596",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700319845",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lennoxmarsjr@sovereigntysupportservices.com",
            "affiliation": "N",
            "endpointDescription": "Direct Business Email",
            "address_1": "70 W Grand St",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072021988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.