Individual provider Active NPI

Joshua Potter, D.O.

  • Hospitalist Physician
  • Shelter Island, NY
National Provider Identifier
1669835724
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
303563 Issued in NY
Practice address
44 South Ferry Road
Shelter Island, NY 11964
Phone
(631) 749-9140
Fax
(631) 759-9424
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 303563 NY
Hospitalist Physician 208M00000X 303563 NY Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 303563 NY

Addresses

Primary practice location

44 South Ferry Road
Shelter Island, NY 11964

Mailing address

4 Springville Rd Ste B
Hampton Bays, NY 11946-2290
Phone (631) 283-1126

Other practice location 1

240 Meeting House Ln
Southampton, NY 11968-5009
Phone (631) 726-8300

Other practice location 2

201 Manor Pl
Greenport, NY 11944-1222
Phone (631) 477-5273

Other identifiers 1

IdentifierTypeStateIssuer
06020593MedicaidNY

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
I20200512000623 NY Practitioner - Family PracticePractitioner - Other (Physician) 8628305281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

240 Meeting House LN
Southampton, NY 11968-5009
Phone (631) 726-8400

325 Meeting House LN
Southampton, NY 11968-7000

3330 Noyac Rd
Sag Harbor, NY 11963-1930
Phone (631) 725-2112

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC CurrentSince Jul 1, 2020 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients

Locations

201 Manor Pl
Greenport, NY 11944
Phone (631) 477-1000

4 Springville Rd
Ste B
Hampton Bays, NY 11946

57 Hampton Rd
Ste 201
Southampton, NY 11968
Phone (631) 283-1126

240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

147 Beach Rd
Westhampton Beach, NY 11978
Phone (631) 288-7746

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: joshua.potter@direct.stonybrookmedicine.edu
  • Direct secure messaging: josh.potter.p1@direct.shproviders.nextgenshare.com

Organizations & group practices 2

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 7

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1669835724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SPRINGVILLE RD STE B",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462290",
            "telephone_number": "631-283-1126",
            "fax_number": "631-283-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SOUTH FERRY ROAD",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "11964",
            "telephone_number": "631-749-9140",
            "fax_number": "631-759-9424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Meeting House Ln",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119685009",
            "country_code": "US",
            "telephone_number": "631-726-8300",
            "fax_number": "631-726-8886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Manor Pl",
            "address_purpose": "LOCATION",
            "city": "Greenport",
            "state": "NY",
            "postal_code": "119441222",
            "country_code": "US",
            "telephone_number": "631-477-5273",
            "fax_number": "631-477-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JOSHUA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "303563",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "303563",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "303563",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06020593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelter Island, NY

Sources for this page

Verify at the official NPI Registry.