Amanda Marie Straley, MS RD
Individual provider Active NPI Registered Dietitian · Keyport, NJ
NPI 1811220734 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1811220734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 948746 (NJ)
- Practice address
- 75 Fulton St
Keyport, NJ 07735-1907 - Phone
- (845) 489-5884
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 948746 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Wellness Center PC | Single Specialty | Past | Accepting new patients |
| Nutrition Solutions LLC | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | |||
| Registered Dietitian | 133V00000X | 948746 | NJ | Yes |
Addresses
Primary practice location
75 Fulton St
Keyport, NJ 07735-1907
Mailing address
75 Fulton St
Keyport, NJ 07735-1907
Phone (845) 489-5884
Other providers in Keyport, NJ
- Marisa Anne Silva
- Ma Elena C Soriano
- Beryl Sowah
- Specs for Less Inc
- Sterling Healthcare Services
- Lucille Martha Sullivan
- Synergy Medical Laboratories Inc
- The Arc Middlesex County
- The Arc Middlesex County
- The Community YMCA
All providers in Keyport, NJ · Registered Dietitian in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.