Individual provider Active NPI

Ron Daquila, OTR/L

  • Occupational Therapist
  • Manalapan, NJ
National Provider Identifier
1144463100
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008103-1 Issued in NY
Practice address
4 Hawthorne Ave
Manalapan, NJ 07726-3560
Phone
(917) 251-3329
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008103-1 NY Primary

Addresses

Primary practice location

4 Hawthorne Ave
Manalapan, NJ 07726-3560

Mailing address

4 Hawthorne Ave
Manalapan, NJ 07726-3560
Phone (917) 251-3329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090609000131 NY Practitioner - Occupational Therapist in Private Practice 2961552294 Reassigns benefits to 1 organization
I20211230000098 NJ Practitioner - Occupational Therapist in Private Practice 2961552294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Manalapan, NJ 07726
Phone (917) 251-3329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008103-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ron Daquila Occupational Therapy PC Occupational Therapist CurrentSince Jan 1, 2013 Accepting new patients
North Shore Physical Therapy of Si, PC Past Accepting new patients
Horizon Rehabilitation PT PC Past Accepting new patients
Ron Daquila Occupational Therapy, P.C. Occupational Therapist PastSince Nov 6, 2021 Accepting new patients

Locations

4870 Hylan Blvd
Staten Island, NY 10312
Phone (718) 227-6999

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1144463100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE AVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263560",
            "telephone_number": "917-251-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE AVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263560",
            "telephone_number": "917-251-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAQUILA",
        "first_name": "RON",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008103-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.