Diane M Henderiks, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

857625 Issued in NJ

Practice address

4 Hartford Dr
Tinton Falls, NJ 07701-4929

Phone

(732) 922-6269

Fax

(732) 918-8757

NPI assigned

Jan 17, 2006

Sex

Female

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

Practice roles

Interoperability endpoints

• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hackensack Meridian Health Medical Group - Primary Care PC

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538
  NPD (past)
• Riverview Medical Associates PA

  • Internal Medicine Physician
  • Tinton Falls, NJ
  • NPI 1194722694
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639159668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077550486",
            "telephone_number": "732-922-6269",
            "fax_number": "732-918-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014929",
            "telephone_number": "732-922-6269",
            "fax_number": "732-918-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERIKS",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "857625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald J Hazley, M.D.
• Healing Birch Recovery LLC Dba Archangel Centers Central
• Heart Medicine LLC
• Heather Wilder Dodds LCSW,LLC
• Richard Heid
• Jillellen Herzog, LPC
• Salim Hill, LMT
• Thomas George Hintelmann
• Linda O Hochman, PH.D.
• Jillian Holguin, LCSW

• Registered Dietitian in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.