Individual provider Active NPI

Steven Darren Potter, M.D.

  • Surgery Physician
  • Pompton Plains, NJ
National Provider Identifier
1679582639
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA056450 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000657 NJ Practitioner - General Surgery 3375646904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056450NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Potter, MD LLC Surgery PastSince Sep 18, 1996 Accepting new patients
Practice Associates Medical Group PastSince Oct 1, 2014 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.

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

Sources for this page

Verify at the official NPI Registry.