Provider Demographics
NPI:1922461821
Name:DADE, SARAH (AADP, IAHC, INHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DADE
Suffix:
Gender:F
Credentials:AADP, IAHC, INHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 38TH ST
Mailing Address - Street 2:SUITE 605
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-6085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:135 38TH ST
Practice Address - Street 2:SUITE 605
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-6085
Practice Address - Country:US
Practice Address - Phone:908-887-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ132053303133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education