Active NPI
McKenna Ray Campbell-Potter
- Sports Medicine (Internal Medicine) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 328701
- Practice address
- 535 E 70TH St
New York, NY 10021-4823 - Phone
- (212) 606-1791
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1902243488
NY
-
- Orthopaedic Surgery Physician
- Paramus, NJ
- NPI 1982004529
NJ
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Radiology Clinic/Center
- New York, NY
- NPI 1376032029
Hospital
-
- Radiology Clinic/Center
- Brooklyn, NY
- NPI 1487200408
Hospital
-
- Radiology Clinic/Center
- New York, NY
- NPI 1801443619
Hospital
-
- Radiology Clinic/Center
- Southampton, NY
- NPI 1023705803
Hospital
-
- General Acute Care Hospital
- New York, NY
- NPI 1598703019
Hospital
-
- Radiology Clinic/Center
- Uniondale, NY
- NPI 1629504501
Hospital
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1447082003
Hospital
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1184038663
Hospital
-
- Radiology Clinic/Center
- Stamford, CT
- NPI 1821402306
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of Minnesota Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ny Society for the Relief of Ruptured and Crippled Maintaining
Practice addresses (Care Compare)
15 E Midland Ave
Paramus, NJ 07652-2938
Phone (201) 599-8000
541 E 71St St
New York, NY 10021-4871
Phone (646) 797-8973
Hospital & facility affiliations
- Hospital for Special Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250818001705 | NY | Practitioner - Sports Medicine | 3971926346 | Reassigns benefits to 1 organization |
| I20251003001480 | NJ | Practitioner - Sports Medicine | 3971926346 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328701 | NY | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Current | Accepting new patients | |
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Current | Accepting new patients |
Locations
15 E Midland Ave
Paramus, NJ 07652
Phone (201) 267-7200
140 E Ridgewood Ave
#175S
Paramus, NJ 07652
15 E Midland Ave
Ste 1A
Paramus, NJ 07652
Phone (201) 599-8000
535 E 70th St
New York, NY 10021
541 E 71st St
New York, NY 10021
Phone (212) 606-1136
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
- mcampbellpotter329388@direct.hss.edu
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 328701 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
535 E 70TH St
New York, NY 10021-4823
Mailing address
535 E 70TH St
New York, NY 10021-4823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2025.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1164041562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214823",
"telephone_number": "212-606-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL-POTTER",
"first_name": "MCKENNA",
"middle_name": "RAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "NY",
"license": "328701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.