Active NPI
Mend Physician Services PC
- Registered Dietitian
- Edison, NJ
National Provider Identifier
1871419127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MEND PHYSICIAN SERVICES PC
- Practice address
- 6 Kilmer Rd # 1089
Edison, NJ 08817-2432 - Phone
- (917) 382-0243
- Fax
- (315) 273-6048
- NPI assigned
- Jun 29, 2026
- Last updated
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Beatty, DO
- Title
- Owner
- Phone
- (917) 382-0243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
6 Kilmer Rd # 1089
Edison, NJ 08817-2432
Mailing address
2025 Guadalupe St Ste 260
Austin, TX 78705-5642
National Provider Directory
National Provider DirectoryLocations
6 Kilmer Rd
#1089
Edison, NJ 08817
Phone (215) 280-3017
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1871419127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 GUADALUPE ST STE 260",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787055642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 KILMER RD # 1089",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172432",
"telephone_number": "917-382-0243",
"fax_number": "315-273-6048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEND PHYSICIAN SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-29",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "BEATTY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-382-0243",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.