Active NPI
Dineasha Potter-McQuilkin, MD
- Obstetrics & Gynecology Physician
- Hoboken, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA08694600
- Practice address
- 129 Washington St
Suite 200
Hoboken, NJ 07030-4657 - Phone
- (201) 795-0501
- Fax
- (201) 963-8231
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA08694600 | NJ | Primary |
Addresses
Primary practice location
129 Washington St
Suite 200
Hoboken, NJ 07030-4657
Mailing address
129 Washington St
Suite 200
Hoboken, NJ 07030-4657
Phone (201) 795-0501
Other names 1
- Dr. Dineasha Potter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
228 Park Ave S
Suite 49409
New York, NY 10003-1502
Phone (646) 760-6669
308 Willow Ave
Hoboken, NJ 07030-3808
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331594 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| Lavish the Center for Women's Health and Rejuvenation LLC | Current | Accepting new patients | |
| Electra Health Medical PC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Electra Womens Health Medical NJ PC | Past | Accepting new patients |
Locations
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
129 Washington St
Ste 200
Hoboken, NJ 07030
Phone (201) 795-0501
122 Clinton St
Hoboken, NJ 07030
Phone (201) 418-1415
10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
Interoperability endpoints
- dineasha.pottermcquilkin@direct.hobokenumc.md
- dineasha.potter-mcquilkin.1@31312.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Gynecology Physician
- Brooklyn, NY
- NPI 1467070029
-
- Gynecology Physician
- Hoboken, NJ
- NPI 1235941105
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Gynecology Physician
- Toms River, NJ
- NPI 1588471643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1093021263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 WASHINGTON ST",
"address_2": "SUITE 200",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304657",
"telephone_number": "201-795-0501",
"fax_number": "201-963-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 WASHINGTON ST",
"address_2": "SUITE 200",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304657",
"telephone_number": "201-795-0501",
"fax_number": "201-963-8231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER-MCQUILKIN",
"first_name": "DINEASHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA08694600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DINEASHA",
"last_name": "POTTER",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.