Provider Demographics
NPI:1437950029
Name:MALTEZ, KAELEY RENEE (MS, RDN, LMT)
Entity type:Individual
Prefix:
First Name:KAELEY
Middle Name:RENEE
Last Name:MALTEZ
Suffix:
Gender:F
Credentials:MS, RDN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 BLUEBIRD DR UNIT 1D
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4977
Mailing Address - Country:US
Mailing Address - Phone:732-278-5312
Mailing Address - Fax:
Practice Address - Street 1:230 POTTERSVILLE RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2432
Practice Address - Country:US
Practice Address - Phone:908-895-4931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86327003133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered