MEDICARE: SARAH SHAPIRO RDN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1619738929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH SHAPIRO RDN LLC

Provider Business Mailing Address
First Line	:	8 DEER LN
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-1216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 DEER LN
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-1216
Country	:	US
Telephone Number	:	732-806-0778
Fax Number	:

Authorized Official
Title or Position	:	RDN
Name	:	SARAH SHAPIRO
Credential	:
Telephone Number	:	848-287-3142

Provider Enumeration Date	:	01/23/2024
Last Update Date	:	01/23/2024

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