Jolanta Potoczek-Salahi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA06314900 Issued in NJ

Practice address

391 Kennedy Blvd
Bayonne, NJ 07002-1330

Phone

(201) 858-4110

Fax

(201) 858-2240

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpotoczeksalahi421128@direct.ahsys.org
• Direct secure messaging: jolanta.potoczeksalahi@direct.carepointhealth.org

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.

• New Jersey Medical and Health Associates,LLC

  • Internal Medicine Physician
  • Hoboken, NJ
  • NPI 1558673582
  Medicare reassignment NPD

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1376532796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021330",
            "telephone_number": "201-858-4110",
            "fax_number": "201-858-2240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024797",
            "country_code": "US",
            "telephone_number": "201-858-4110",
            "fax_number": "201-858-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTOCZEK-SALAHI",
        "first_name": "JOLANTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06314900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6838006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Plaksin
• Platinum Dental Group Bayonne, LLC
• Leslie Pomales
• Tzehei Patrick Poon, D.D.S.
• Rosemarie Porch
• Tracey Lynn Power, ATC
• Marvin R Prado, P.T.
• Sasha Prakash, M.D.
• Premier Medical Center
• Premier Medical Oncology, LLC

• Family Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.