Individual provider Active NPI

Joshua Robey Potocko, M.D.

  • Occupational Medicine Physician
  • New Orleans, LA
National Provider Identifier
1104117779
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
C146100 Issued in CA
Practice address
4437 Camp St
New Orleans, LA 70115-2807
Phone
(303) 999-5763
NPI assigned
Apr 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X C146100 CA
Community Health Clinic/Center 261QC1500X 345860 LA
Occupational Medicine Physician 2083X0100X C146100 CA Primary

Addresses

Primary practice location

4437 Camp St
New Orleans, LA 70115-2807

Mailing address

4437 Camp St
New Orleans, LA 70115-2807
Phone (303) 999-5763

Other practice location 1

15 Scenic Ave
San Rafael, CA 94901-1654
Phone (303) 999-5763

Other practice location 2

1772 Prytania St
New Orleans, LA 70130-5261
Phone (929) 376-2972

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C146100CAMDAerospace Medicine Physician
345860LAMDCommunity Health Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1104117779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 CAMP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152807",
            "telephone_number": "303-999-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 CAMP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152807",
            "telephone_number": "303-999-5763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Scenic Ave",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949011654",
            "country_code": "US",
            "telephone_number": "303-999-5763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1772 Prytania St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701305261",
            "country_code": "US",
            "telephone_number": "929-376-2972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTOCKO",
        "first_name": "JOSHUA",
        "middle_name": "ROBEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "C146100",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "LA",
            "license": "345860",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "C146100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.