Active NPI
Rebecca Pothen, NP
- Family Nurse Practitioner
- Pomona, NY
National Provider Identifier
1447920780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F343889
- Practice address
- 5A Medical Park Dr
Pomona, NY 10970-3516 - Phone
- (845) 362-1081
- Fax
- (845) 362-7475
- NPI assigned
- Sep 17, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F343889 | NY | Primary |
Addresses
Primary practice location
5A Medical Park Dr
Pomona, NY 10970-3516
Mailing address
5A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1081
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5 A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1081
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.07 of 100
- Quality
- 45.39
- Improvement activities
- 40
- Cost
- 77.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.75 of 100
- Quality
- 38.05
- Improvement activities
- 40
- Cost
- 79.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F343889 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Thoracic & Vascular Assoc. PLLC | Current | Accepting new patients | |
| Rockland Thoracic & Vascular Associates, P.C. | Current | Accepting new patients |
Locations
70 Hatfield Ln
Ste 202
Goshen, NY 10924
Phone (845) 291-3656
873 Route 45
Ste 105
New City, NY 10956
Phone (845) 362-1081
5A Medical Park Dr
Pomona, NY 10970
Phone (845) 362-0075
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pomona, NY
- NPI 1740235068
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Goshen, NY
- NPI 1326093972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1447920780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5A MEDICAL PARK DR",
"city": "POMONA",
"state": "NY",
"postal_code": "109703516",
"telephone_number": "845-362-1081",
"fax_number": "845-362-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5A MEDICAL PARK DR",
"city": "POMONA",
"state": "NY",
"postal_code": "109703516",
"telephone_number": "845-362-1081",
"fax_number": "845-362-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTHEN",
"first_name": "REBECCA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F343889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
- Pomona Pain Management
- Pomona Pediatrics PC
- Pomona Physical Therapy Associates P.C.
- Pomona Sethi Dental PLLC
- Pomona Sono Medical, PLLC
- Premier Behavioral Services Inc
- Primary Care Associates of Rockland PC
- Primary Medical Care of Rockland PLLC
- Prime at Home Occupational Therapy
- Prime Therapy Solutions Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.
- 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.