Active NPI
Sean Kingston LLC
- Community/Behavioral Health Agency
- Forked River, NJ
National Provider Identifier
1861255697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Social Worker
- Brick, NJ
- NPI 1588204796
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.