Organization Active NPI

Sean Kingston LLC

  • Community/Behavioral Health Agency
  • Forked River, NJ
National Provider Identifier
1861255697
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SEAN KINGSTON LLC
Practice address
535 Lacey Rd
Forked River, NJ 08731-1533
Phone
(732) 915-2062
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Mrs. Heather Kingston
Title
Operations
Phone
(732) 915-2062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

535 Lacey Rd
Forked River, NJ 08731-1533

Mailing address

273 Matey Ave
Manahawkin, NJ 08050-2235
Phone (732) 915-2062

Other names 1

  • Sean Kingston LLC Doing business as

National Provider Directory

National Provider Directory

Locations

535 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-7903

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1861255697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MATEY AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502235",
            "telephone_number": "732-915-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311533",
            "telephone_number": "732-915-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN KINGSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "KINGSTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "732-915-2062",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sean Kingston LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.