Active NPIIndividual providerSole proprietor

Mr. Jared W Beatty, RDN

Dietitian, Registered in Mantua, New Jersey

NPI Number1912845512
Practice location
1130 Mantua Pike, Mantua, NJ 08051-1661
Fax
—
Last updated
March 24, 2026

Jared William Beatty is a Dietitian, Registered based in Mantua, NJ. Jared William Beatty practices in Mantua, NJ and has the professional credentials of RDN. The NPI Number for Jared William Beatty is 1912845512 and holds a License No. 86132442 (NJ). The current practice location address for Jared William Beatty is 1130 Mantua Pike, Mantua, NJ 08051-1661 and can be reached out via phone at 856-345-8758.

Provider Profile Details

NPI Number
1912845512
Provider Name
Jared William Beatty
Credential
RDN
Provider Entity Type
Individual
Gender
Male
Address
1130 Mantua Pike, Mantua, NJ 08051-1661
Phone Number
856-345-8758
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2026
Last Update Date
March 24, 2026
Certification Date
March 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1130 Mantua Pike
Mantua, NJ 08051-1661
City
Mantua
Zip
08051-1661
Phone Number
856-345-8758
Mantua, NJ 08051Get directions →

Provider Business Mailing Address Details

Address
1130 Mantua Pike
Mantua, NJ 08051-1661
City
Mantua
State
NJ
Zip
08051-1661
Phone Number
856-345-8758

License Information

License Number
86132442
License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jared W Beatty, RDN?

The NPI number of Mr. Jared W Beatty, RDN is 1912845512. It was assigned on March 24, 2026 and is currently active in the NPPES registry.

What is the specialty of Mr. Jared W Beatty, RDN?

Mr. Jared W Beatty, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86132442.

Where does Mr. Jared W Beatty, RDN practice?

The practice location is 1130 Mantua Pike, Mantua, NJ 08051-1661. The office can be reached at 856-345-8758 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912845512 directly on the NPPES registry website.

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