Mr Dante Velasquez Henson, OTR/L | |
1314 Liberty Ave, Union, NJ 07083-4142 | |
(201) 606-3678 | |
Not Available |
Full Name | Mr Dante Velasquez Henson |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 24 Years |
Location | 1314 Liberty Ave, Union, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619902145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 014206 (New York) | Secondary |
225X00000X | Occupational Therapist | 46TR00621200 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Magna Vita Rehab And Wellness | 2163895970 | 2 |
Provider Name | Magna Vita Rehab And Wellness |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518679190 PECOS PAC ID: 2163895970 Enrollment ID: O20230227000417 |
Mailing Address | Practice Location Address |
---|---|
Mr Dante Velasquez Henson, OTR/L 1314 Liberty Ave, Union, NJ 07083-4142 Ph: (201) 606-3678 | Mr Dante Velasquez Henson, OTR/L 1314 Liberty Ave, Union, NJ 07083-4142 Ph: (201) 606-3678 |
Mr. Rosselle Poblete Gurango, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1355 Oakland Ave, Union, NJ 07083 Phone: 908-686-2932 | |
Ms. Majorie Mellon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 Huguenot Ave, Union, NJ 07083 Phone: 973-760-7489 | |
Nia Whyte, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1225 Stuyvesant Ave, Union, NJ 07083 Phone: 908-405-3702 | |
Erica Patusco, O.T.R. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2182 Morris Ave, Union, NJ 07083 Phone: 908-851-2666 Fax: 908-851-2299 | |
Henry Gallardo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2075 Balmoral Ave, Union, NJ 07083 Phone: 201-993-8118 | |
Dr. Daryll Adrian Ang Henson, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1314 Liberty Ave, Union, NJ 07083 Phone: 201-606-3681 | |
Aizeyosabo F Obamedo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 961 Arnet Ave, Union, NJ 07083 Phone: 908-265-2911 |