Organization Active NPI

Heavensent Medical and Consulting Services , LLC

  • Adult Health Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1851773915
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
HEAVENSENT MEDICAL AND CONSULTING SERVICES , LLC
Practice address
1115 Inman Ave
#105
Edison, NJ 08820-1132
Phone
(732) 259-5156
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Lynn R Parker
Title
NP
Phone
(732) 259-5156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1115 Inman Ave
#105
Edison, NJ 08820-1132

Mailing address

1115 Inman Ave
#105
Edison, NJ 08820-1132
Phone (732) 259-5156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1851773915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 INMAN AVE",
            "address_2": "#105",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201132",
            "telephone_number": "732-259-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 INMAN AVE",
            "address_2": "#105",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201132",
            "telephone_number": "732-259-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENSENT MEDICAL AND CONSULTING SERVICES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "732-259-5156"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.