Active NPI
Sara R Isaacson, MS, RDN
- Registered Dietitian
- Lakewood, NJ
National Provider Identifier
1144936972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 933764
- Practice address
- 49 N Crest PL
Lakewood, NJ 08701-2976 - Phone
- (732) 556-7574
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 933764 | Primary |
Addresses
Primary practice location
49 N Crest PL
Lakewood, NJ 08701-2976
Mailing address
49 N Crest PL
Lakewood, NJ 08701-2976
Phone (732) 556-7574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1144936972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 N CREST PL",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012976",
"telephone_number": "732-556-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 N CREST PL",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012976",
"telephone_number": "732-556-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACSON",
"first_name": "SARA",
"middle_name": "R",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "933764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.