Individual provider Active NPI

Dineasha Potter-McQuilkin, MD

  • Obstetrics & Gynecology Physician
  • Hoboken, NJ
National Provider Identifier
1093021263
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08694600 Issued in NJ
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

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140624001619 NJ Practitioner - Obstetrics/Gynecology 5193949659 Reassigns benefits to 1 organization
I20241125001245 NY Practitioner - Obstetrics/Gynecology 5193949659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Electra Health Medical PCGroup PAC ID 5991159915, 13 clinicians
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

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

LicenseStateTypeSpecialty
331594NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Oct 1, 2024 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jan 1, 2015 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

  • Direct secure messaging: dineasha.pottermcquilkin@direct.hobokenumc.md
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.