Provider Demographics
NPI:1144102583
Name:KRATZER, MORGAN (RDN)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:KRATZER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 EDEN PL
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3334
Mailing Address - Country:US
Mailing Address - Phone:862-226-0392
Mailing Address - Fax:
Practice Address - Street 1:2 INTERSTATE SHOP CTR
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1138
Practice Address - Country:US
Practice Address - Phone:201-805-5735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86330836133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered