Active NPI
Shari Potter, PA
- Medical Physician Assistant
- Nyc, NY
National Provider Identifier
1184873853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 002091-1
- Practice address
- 324 East 23Rd Street
Manhattan Physicians Group
Nyc, NY 10010 - Phone
- (212) 460-7800
- Fax
- (212) 460-7877
- NPI assigned
- Sep 17, 2008
- Last updated
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002091-1 | NY | Primary |
Addresses
Primary practice location
324 East 23Rd Street
Manhattan Physicians Group
Nyc, NY 10010
Mailing address
67 West 55TH Street
Manhattan Physicians Group
Manhattan, NY 10019
Phone (917) 510-2854
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002091-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHHN Medical, P.C. | Past | Accepting new patients |
Interoperability endpoints
- shari.potter.1@24989.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Manhattans Physicians Group / AdvantageCare Physicians
- Family Medicine Physician
- New York, NY
- NPI 1740222181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1184873853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WEST 55TH STREET",
"address_2": "MANHATTAN PHYSICIANS GROUP",
"city": "MANHATTAN",
"state": "NY",
"postal_code": "10019",
"telephone_number": "917-510-2854",
"fax_number": "212-484-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 EAST 23RD STREET",
"address_2": "MANHATTAN PHYSICIANS GROUP",
"city": "NYC",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-460-7800",
"fax_number": "212-460-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "SHARI",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "002091-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyc, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.