Robert M. Potenza, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

096993 Issued in NY

Practice address

2800 Bruckner Blvd
Suite 306
Bronx, NY 10465-1907

Phone

(718) 597-9595

Fax

(718) 597-2807

NPI assigned

Jul 20, 2006

Last updated

Oct 27, 2020By 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

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1790705945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BRUCKNER BLVD",
            "address_2": "SUITE 306",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104654500",
            "telephone_number": "718-597-9595",
            "fax_number": "718-597-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BRUCKNER BLVD",
            "address_2": "SUITE 306",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651907",
            "telephone_number": "718-597-9595",
            "fax_number": "718-597-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTENZA",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "096993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Ann Postelneck Faix
• Postgraduate Center for Mental Health
• Lucas Postlewaite, DDS
• Nicole Poston, LMSW
• Dominica M. Potenza, DNP
• Thomas Potenzo
• Dominique Poterson
• Margarita Pothemont, REGISTERED NURSE
• Aravind Pothula, M.D.
• Suneetha Potluri, RPA-C

• Cardiovascular Disease Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.