Healthcare Provider Details

I. General information

NPI: 1124933130
Provider Name (Legal Business Name): SARA WEAVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA POHAR

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 HWY 138 STE 307
WALL TOWNSHIP NJ
07719-3764
US

IV. Provider business mailing address

4808 SPRING ST
WALL TOWNSHIP NJ
07753-6936
US

V. Phone/Fax

Practice location:
  • Phone: 732-239-0599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07191600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: