Active NPI
Sabrina Johar, MS RDN
- Registered Dietitian
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4691
- Practice address
- 130 Quincy Ave
Brockton, MA 02302-2803 - Phone
- (508) 941-7268
- NPI assigned
- Dec 21, 2018
- Last updated
- Aug 14, 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 | 4691 | MA | Primary |
Addresses
Primary practice location
130 Quincy Ave
Brockton, MA 02302-2803
Mailing address
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other practice location 1
5 Fairlee Ln
Norton, MA 02766-2510
Phone (774) 266-1107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4691 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Brockton Hospital, Inc. | Past | Accepting new patients |
Locations
130 Quincy Ave
Brockton, MA 02302
Phone (508) 941-7268
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
Interoperability endpoints
- sabrina.johar@direct.signature.masshiway.net
Organizations & group practices 2
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.
-
dba Signature Medical
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Single Specialty
-
dba Signature Healthcare Pharmacy - EB
- Community/Retail Pharmacy
- East Bridgewater, MA
- NPI 1033084462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1710459193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 CENTRE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-941-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 QUINCY AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022803",
"telephone_number": "508-941-7268"
}
],
"practiceLocations": [
{
"address_1": "5 Fairlee Ln",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "MA",
"postal_code": "027662510",
"country_code": "US",
"telephone_number": "774-266-1107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHAR",
"first_name": "SABRINA",
"name_prefix": "Ms.",
"credential": "MS RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-21",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.