Hugo Peter Van Dijk, PT, MBA

Primary specialty

SpecialistTaxonomy code 174400000X

License

015788 Issued in NY

Practice address

215 Shore Rd
Long Beach, NY 11561-4257

Phone

(718) 440-1979

NPI assigned

Feb 6, 2009

Last updated

Mar 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1316186844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHORE RD",
            "address_2": "APARTMENT 4",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614257",
            "telephone_number": "718-440-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SHORE RD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614257",
            "telephone_number": "718-440-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DIJK",
        "first_name": "HUGO",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PT, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "015788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.