Maxmoore Potkin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

327054 Issued in NY

Practice address

4941 Broadway
New York, NY 10034-2303

Phone

(212) 942-8500

NPI assigned

May 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1407591704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 E 83RD ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342303",
            "telephone_number": "212-942-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTKIN",
        "first_name": "MAXMOORE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "327054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavana Pothuri, M.D.
• Scott Poticha, AGACNP-BC
• Yamini Potini, MD
• Pamela Potischman, LCSW
• Katya Trudeau Potkin, MD
• Krishna Kanth Potluri, M.D.
• Yasaswini Potluri
• Ojas Potnis
• Kathleen Ann Potocnik Medina, LCSW
• Ryan Potosky, M.D.

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.