Brendan Potash, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00808700 Issued in NJ

Practice address

4251 Route 9 N Ste B
Freehold, NJ 07728-8304

Phone

(732) 683-1800

Fax

(732) 683-1090

NPI assigned

Dec 19, 2024

Sex

Male

Sole proprietor

No

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 NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brendan Potash DC LLC

  • Chiropractor
  • Parlin, NJ
  • NPI 1114893450
  NPD Authorized official
• Potash Chiropractic, PC

  • Chiropractor
  • Parlin, NJ
  • NPI 1629494729
  NPD (past)

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1477361707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KINGSLEY DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263115",
            "telephone_number": "732-439-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 ROUTE 9 N STE B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288304",
            "telephone_number": "732-683-1800",
            "fax_number": "732-683-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTASH",
        "first_name": "BRENDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00808700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.