Joseph P Potosky, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00422101 Issued in NJ

Practice address

204 Haddon Ave
West Berlin, NJ 08091-1607

Phone

(856) 768-2515

Fax

(856) 768-7451

NPI assigned

Dec 1, 2006

Last updated

Dec 11, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph Potosky OD

  • Optometrist
  • Salem, NJ
  • NPI 1851540124
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1629146295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HADDON AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080911607",
            "telephone_number": "856-768-2515",
            "fax_number": "856-768-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HADDON AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080911607",
            "telephone_number": "856-768-2515",
            "fax_number": "856-768-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTOSKY",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00422101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in West Berlin, NJ
• Providers in West Berlin, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.