Individual provider Active NPI

Holly Potts, D.O.

  • Pediatrics Physician
  • Flemington, NJ
National Provider Identifier
1912158403
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB10076500 Issued in NJ
Practice address
6 Sand Hill Rd Ste 102
Flemington, NJ 08822-4946
Phone
(908) 782-6700
Fax
(908) 237-4064
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 25MB10076500 NJ Primary

Addresses

Primary practice location

6 Sand Hill Rd Ste 102
Flemington, NJ 08822-4946

Mailing address

6 Sand Hill Rd Ste 102
Flemington, NJ 08822-4946
Phone (908) 782-6700

Other identifiers 1

IdentifierTypeStateIssuer
1912158403MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address holly.potts.p22@direct.hunterdon.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10076500NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: holly.potts.p22@direct.hunterdon.nextgenshare.com

Organizations & group practices 1

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1912158403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD STE 102",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-782-6700",
            "fax_number": "908-237-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD STE 102",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-782-6700",
            "fax_number": "908-237-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB10076500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912158403",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.potts.p22@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Access",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Sand Hill Rd",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088224946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.