Active NPI
Sarah A Anzlovar, RDN
- Registered Dietitian
- Medfield, MA
National Provider Identifier
1609376136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3527
- Practice address
- 110 Elm St
Medfield, MA 02052-2823 - Phone
- (774) 469-0505
- NPI assigned
- Feb 21, 2018
- Last updated
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 3527 | MA | |
| Nutrition Education Nutritionist | 133NN1002X | 3527 | MA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 3527 | MA | |
| Registered Dietitian | 133V00000X | 3527 | MA | Primary |
Addresses
Primary practice location
110 Elm St
Medfield, MA 02052-2823
Mailing address
163 Highland Ave # 1061
Needham, MA 02494-3025
Phone (774) 469-0505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3527 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Gold Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
163 Highland Ave
#1061
Needham, MA 02494
Phone (774) 469-0505
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1609376136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 HIGHLAND AVE # 1061",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943025",
"telephone_number": "774-469-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ELM ST",
"city": "MEDFIELD",
"state": "MA",
"postal_code": "020522823",
"telephone_number": "774-469-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANZLOVAR",
"first_name": "SARAH",
"middle_name": "A",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MA",
"license": "3527",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MA",
"license": "3527",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MA",
"license": "3527",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.