Provider Demographics
NPI:1831616788
Name:BARNETT, SARA B (RDN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:B
Last Name:BARNETT
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:BINA
Other - Last Name:ROWNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 ALBERT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5413
Mailing Address - Country:US
Mailing Address - Phone:201-774-0168
Mailing Address - Fax:
Practice Address - Street 1:750 ALBERT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5413
Practice Address - Country:US
Practice Address - Phone:201-774-0168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered