Active NPI
Empower Sports Network. Inc
- Community/Behavioral Health Agency
- Long Branch, NJ
National Provider Identifier
1972392470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EMPOWER SPORTS NETWORK. INC
- Practice address
- 713 Greens Ave Apt 4
Long Branch, NJ 07740-4924 - Phone
- (908) 902-1824
- NPI assigned
- May 2, 2025
- 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
- Samuel Paul Kiningham
- Title
- Founder & Executive Director
- Phone
- (908) 902-1824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
713 Greens Ave Apt 4
Long Branch, NJ 07740-4924
Mailing address
PO Box 4
Oceanport, NJ 07757-0004
Phone (908) 902-1824
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746144000000",
"number": "1972392470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "OCEANPORT",
"state": "NJ",
"postal_code": "077570004",
"telephone_number": "908-902-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 GREENS AVE APT 4",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077404924",
"telephone_number": "908-902-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER SPORTS NETWORK. INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "KININGHAM",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "FOUNDER & EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "908-902-1824"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.