Individual provider Active NPI

Anna Potash, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1598760019
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
194801 Issued in NY
Practice address
1695 E 21St St
Apt A10
Brooklyn, NY 11210-5023
Phone
(718) 252-3702
NPI assigned
Jun 21, 2005
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 194801 NY Primary

Addresses

Primary practice location

1695 E 21St St
Apt A10
Brooklyn, NY 11210-5023

Mailing address

15 Cedar LN N
Glen Head, NY 11545-1703
Phone (516) 671-9089

Other identifiers 1

IdentifierTypeStateIssuer
01523317MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000300 NY Practitioner - Psychiatry 7719881911 Practice locations: Brooklyn, NY; Mineola, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1695 E 21St St
A10
Brooklyn, NY 11210-5035
Phone (718) 252-3702

Merit-based Incentive Payment System (MIPS)

Final score
18.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194801NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Road Medical Practice PC PastSince Jul 10, 2002 Accepting new patients
South Beach Medical PC Past Accepting new patients
Oksana Berkovich Medical PC PastSince Mar 21, 2005 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1598760019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CEDAR LN N",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451703",
            "telephone_number": "516-671-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 E 21ST ST",
            "address_2": "APT A10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105023",
            "telephone_number": "718-252-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTASH",
        "first_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "194801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.