Individual provider Active NPI

Shari Potter, PA

  • Medical Physician Assistant
  • Nyc, NY
National Provider Identifier
1184873853
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002091-1 Issued in NY
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
002091-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
LHHN Medical, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.