NPIMap

Individual provider Active NPI

Christopher Paul Potestio, M.D.

  • Anesthesiology Physician
  • Camden, NJ
National Provider Identifier
1558705160
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA10077200 Issued in NJ
Practice address
1 Cooper Plaza
Camden, NJ 08103
Phone
(856) 356-4924
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 25MA10077200 NJ Primary

Addresses

Primary practice location

1 Cooper Plaza
Camden, NJ 08103

Mailing address

1 Federal Street
SW 100
Camden, NJ 08103
Phone (856) 356-4924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815001404 NJ Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 7517239387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Rutgers New Jersey Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as group
Quality
73.04
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10077200NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Anesthesia Associates, PC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
CMC Department of Medicine Group PA Single Specialty CurrentSince Sep 30, 2018 Accepting new patients
CMC Department of Medicine Group PA Single Specialty CurrentSince Sep 30, 2018 Accepting new patients
CHC Pain Management Center, PA Single Specialty CurrentSince Jul 1, 2017 Accepting new patients

Locations

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 314
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Federal St
Ste SW100
Camden, NJ 08103

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
#432
Camden, NJ 08103
Phone (856) 342-2633

501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768

900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (856) 325-6505

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

218 Sunset Rd
#C
Willingboro, NJ 08046
Phone (609) 877-0400

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1558705160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL STREET",
            "address_2": "SW 100",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLAZA",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-356-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTESTIO",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA10077200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.