Jared William Beatty, RDN
Individual provider Active NPI Registered Dietitian · Mantua, NJ
NPI 1912845512 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1912845512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86132442 (NJ)
- Practice address
- 1130 Mantua Pike
Mantua, NJ 08051-1661 - Phone
- (856) 345-8758
- NPI assigned
- Mar 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86132442 | NJ | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86132442 | NJ | Yes |
Addresses
Primary practice location
1130 Mantua Pike
Mantua, NJ 08051-1661
Mailing address
1130 Mantua Pike
Mantua, NJ 08051-1661
Phone (856) 345-8758
Other providers in Mantua, NJ
- Arbee Infusion Therapy
- Assoc. for Retarded Citizens, Inc. Gloucester County
- Assoc. for Retarded Citizens, Inc. Gloucester County
- Ayrin L. Hnosko, LCSW, LLC
- Marcus Lee Bass
- David Berg
- Nina Ruth Beyer
- Jason James Bintliff
- Barry M Blitzstein
- Brimex Medical, Inc
All providers in Mantua, 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 Mar 24, 2026. 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.