Individual provider Active NPI

Diane Potash, APN

  • Nurse Practitioner
  • North Brunswick, NJ
National Provider Identifier
1669808721
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00425100 Issued in NJ
Practice address
2050 Route 27
Suite 205
North Brunswick, NJ 08902
Phone
(732) 821-5562
Fax
(732) 821-5347
NPI assigned
Sep 20, 2013
Last updated
Sep 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00425100 NJ Primary

Addresses

Primary practice location

2050 Route 27
Suite 205
North Brunswick, NJ 08902

Mailing address

2050 Route 27
Suite 205
North Brunswick, NJ 08902
Phone (732) 821-5562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502001530 NJ Practitioner - Nurse Practitioner 1557594223 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Advanced Practice Nursing PC CurrentSince Nov 21, 2018 Accepting new patients
Luca de Simone Kidney Disease Specialists LLC CurrentSince Oct 15, 2015 Accepting new patients
Advanced Internal Medicine of Central NJ CurrentSince Sep 1, 2018 Accepting new patients
Tapestry Telehealth PLLC Nurse Practitioner CurrentSince Nov 3, 2021 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

69 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 238-0060

2 Lincoln Hwy
Ste 410
Edison, NJ 08820
Phone (732) 672-3140

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

100 McClellen St
Norwood, NJ 07648
Phone (201) 767-0100

275 John T Oleary Blvd
South Amboy, NJ 08879
Phone (201) 397-5200

275 John T Oleary Blvd
Venetian Care and Re
South Amboy, NJ 08879
Phone (732) 721-8200

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, 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": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1669808721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 ROUTE 27",
            "address_2": "SUITE 205",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-821-5562",
            "fax_number": "732-821-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ROUTE 27",
            "address_2": "SUITE 205",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-821-5562",
            "fax_number": "732-821-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTASH",
        "first_name": "DIANE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00425100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.