Active NPIIndividual providerSole proprietor

Diane M Henderiks, RD

Dietitian, Registered in Tinton Falls, New Jersey

NPI Number1639159668
Practice location
4 Hartford Dr, Tinton Falls, NJ 07701-4929
Fax
732-918-8757
Last updated
July 8, 2007

Diane M Henderiks is a Dietitian, Registered based in Tinton Falls, NJ. Diane M Henderiks practices in Tinton Falls, NJ and has the professional credentials of RD. The NPI Number for Diane M Henderiks is 1639159668 and holds a License No. 857625 (NJ). The current practice location address for Diane M Henderiks is 4 Hartford Dr, Tinton Falls, NJ 07701-4929 and can be reached out via phone at 732-922-6269 and via fax at 732-918-8757.

Provider Profile Details

NPI Number
1639159668
Provider Name
Diane M Henderiks
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
4 Hartford Dr, Tinton Falls, NJ 07701-4929
Phone Number
732-922-6269
Fax Number
732-918-8757
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Hartford Dr
Tinton Falls, NJ 07701-4929
Zip
07701-4929
Phone Number
732-922-6269
Fax Number
732-918-8757
Tinton Falls, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
Po Box 486
Oakhurst, NJ 07755-0486
City
Oakhurst
State
NJ
Zip
07755-0486
Phone Number
732-922-6269
Fax Number
732-918-8757

License Information

License Number
857625
License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Diane M Henderiks, RD?

The NPI number of Diane M Henderiks, RD is 1639159668. It was assigned on January 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Diane M Henderiks, RD?

Diane M Henderiks, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 857625.

Where does Diane M Henderiks, RD practice?

The practice location is 4 Hartford Dr, Tinton Falls, NJ 07701-4929. The office can be reached at 732-922-6269 (phone) or 732-918-8757 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639159668 directly on the NPPES registry website.

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