Active NPI
Steven Darren Potter, M.D.
- Surgery Physician
- Pompton Plains, NJ
National Provider Identifier
1679582639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MA056450
- Practice address
- 287 Boulevard
Suite #1
Pompton Plains, NJ 07444-1726 - Phone
- (973) 839-7400
- Fax
- (973) 831-4911
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA056450 | NJ | Primary |
Addresses
Primary practice location
287 Boulevard
Suite #1
Pompton Plains, NJ 07444-1726
Mailing address
287 Blvd.
Suite #1
Pompton Plains, NJ 07405
Phone (973) 839-7400
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070319000657 | NJ | Practitioner - General Surgery | 3375646904 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA056450 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Potter, MD LLC | Surgery | Past | Accepting new patients |
| Practice Associates Medical Group | Past | Accepting new patients |
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.
-
- Surgery Physician
- Pompton Plains, NJ
- NPI 1881732667
-
dba Atlantic Medical Group
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679582639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 BLVD.",
"address_2": "SUITE #1",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "07405",
"telephone_number": "973-839-7400",
"fax_number": "973-831-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 BOULEVARD",
"address_2": "SUITE #1",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441726",
"telephone_number": "973-839-7400",
"fax_number": "973-831-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "STEVEN",
"middle_name": "DARREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "MA056450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompton Plains, NJ
- Pompton Family Dental Services, PA
- Pompton Plains Pathologists P a
- Ernest John Pomroy III, MSPT
- Susan Marie Popolo Becker, NURSE PRACTITIONER
- Adrienne Margaret Popovich, LCSW, MSW
- Gwen A Pra, MHA, OTR/L
- Pro Vision Physical Therapy
- Procare Medical Transportation Corp
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.