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Deactivated NPI 1538508221 Deactivated / Inactive NPI Female Practitioner

Sarah Diane Johnson , SPECIAL EDUCATOR

Specialist • Newark, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sarah Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2013
NPI Deactivation Date August 19, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Sarah Johnson, SPECIAL EDUCATOR was a registered Specialist practicing in Newark, NJ. Throughout an active medical career spanning 7 years, Sarah Johnson provided care at the practice location at 347 LAKE ST until profile deactivation on 2020-08-19.

Practice Location & Contact Primary Location

Practice Address

347 Lake St
Apt C5

Newark, NJ 071041223

Telephone 3472298929
Fax 3472298929

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.3 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
25 Specialists

Practicing in Newark, NJ (1802 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 1257786

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 19, 2020

Record deactivated on August 19, 2020

NPI Profile Active June 17, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2013

Registered at 347 LAKE ST, APT C5, NEWARK, NJ 071041223 (Tel: 3472298929)

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Updated Business Mailing Address June 17, 2013

Registered at 347 LAKE ST, APT C5, NEWARK, NJ 071041223 (Tel: 3472298929)

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Provider Name / Credentials Updated June 17, 2013

Recorded as SARAH JOHNSON, SPECIAL EDUCATOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2013

Specialist (License #1257786 in NY)

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Initial NPI Registration & Enumeration June 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538508221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2013
Last Update: June 17, 2013
Deactivation Date: August 19, 2020

Mailing Address

347 Lake St, Apt C5

Newark, NJ 071041223

Phone: 3472298929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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