Individual provider Active NPI

Daryll Adrian Ang Henson, OTD, OTR/L

  • Occupational Therapist
  • Union, NJ
National Provider Identifier
1235851213
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01085600 Issued in NJ
Practice address
1314 Liberty Ave
Union, NJ 07083-4142
Phone
(201) 606-3681
NPI assigned
Sep 15, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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 46TR01085600 NJ Primary

Addresses

Primary practice location

1314 Liberty Ave
Union, NJ 07083-4142

Mailing address

1314 Liberty Ave
Union, NJ 07083-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical and Occupational Therapy, PC Occupational Therapist CurrentSince Sep 19, 2022 Accepting new patients
Magna Vita Rehab and Wellness CurrentSince Apr 3, 2023 Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist CurrentSince Feb 19, 2023 Accepting new patients

Locations

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

361 Montgomery St
Ste 1
Jersey City, NJ 07302
Phone (201) 932-2656

725 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 933-0711

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

616 Bloomfield Ave
Ste 3A
West Caldwell, NJ 07006
Phone (973) 228-4885

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1235851213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 LIBERTY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 LIBERTY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834142",
            "telephone_number": "201-606-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "DARYLL ADRIAN",
        "middle_name": "ANG",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01085600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.