Active NPI
Dante Velasquez Henson, OTR/L
- Occupational Therapist
- Union, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00621200
- Practice address
- 1314 Liberty Ave
Union, NJ 07083-4142 - Phone
- (201) 606-3678
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 014206 | NY | |
| Occupational Therapist | 225X00000X | 46TR00621200 | NJ | Primary |
Addresses
Primary practice location
1314 Liberty Ave
Union, NJ 07083-4142
Mailing address
1314 Liberty Ave
Union, NJ 07083-4142
Phone (201) 606-3678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
397 Haledon Ave
Haledon, NJ 07508-1551
Phone (973) 975-0035
725 Valley Brook Ave
Lyndhurst, NJ 07071-2030
Phone (973) 975-0035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holsman Physical and Occupational Therapy PC | Occupational Therapist | Current | Accepting new patients |
| Magna Vita Rehab and Wellness | Current | Accepting new patients |
Locations
1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565
397 Haledon Ave
Haledon, NJ 07508
Phone (973) 427-0023
711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555
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) 228-1948
Organizations & group practices 2
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.
-
- Physical Therapist
- Bloomfield, NJ
- NPI 1518679190
-
- Physical Therapist
- Rahway, NJ
- NPI 1659079069
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1619902145",
"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",
"telephone_number": "201-606-3678"
},
{
"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": "201-606-3678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "DANTE",
"middle_name": "VELASQUEZ",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014206",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00621200",
"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 Aug 16, 2016; 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.