Provider Demographics
NPI:1821150640
Name:KACHINSKI, MAUREEN (MS,RD)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:KACHINSKI
Suffix:
Gender:F
Credentials:MS,RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 THORNBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4348
Mailing Address - Country:US
Mailing Address - Phone:732-741-9266
Mailing Address - Fax:732-741-2676
Practice Address - Street 1:58 THORNBROOKE DR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4348
Practice Address - Country:US
Practice Address - Phone:732-741-9266
Practice Address - Fax:732-741-2676
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
053481Medicare ID - Type UnspecifiedMEDICARE