Healthcare Provider Details

I. General information

NPI: 1275453714
Provider Name (Legal Business Name): SARAH YASIN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1093 LYNWOOD AVE
NEW MILFORD NJ
07646-3214
US

IV. Provider business mailing address

1093 LYNWOOD AVE
NEW MILFORD NJ
07646-3214
US

V. Phone/Fax

Practice location:
  • Phone: 201-989-2276
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number26NR43002200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: