JOHN H. POTOMSKI, JR. DO CMA – NPI #1083657183
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

JOHN POTOMSKI, JR. is a physician located in MELBOURNE, FL. NPPES has assigned the NPI number 1083657183 to JOHN POTOMSKI, JR. on June 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 7 years ago on Oct 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN POTOMSKI, JR. below.

NPI Profile for
JOHN H. POTOMSKI, JR.

NPI Number
1083657183
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN H. POTOMSKI, JR.
Credentials
DO CMA
Primary location
720 E NEW HAVEN AVE
MELBOURNE, FL 32901
Phone: (321) 724-4545 Fax: (321) 728-4168
Mailing address
720 E NEW HAVEN AVE STE 11
MELBOURNE, FL 32901-5474
Phone: (321) 724-4545 Fax: (321) 728-4168
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN POTOMSKI, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL067596200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 FL OS4425

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1981
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN POTOMSKI, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • CAPE CANAVERAL HOSPITAL
      701 W COCOA BEACH CAUSEWAY
      COCOA BEACH, FL 32932
    • HOLMES REGIONAL MEDICAL CENTER
      1350 S HICKORY ST
      MELBOURNE, FL 32901
    • PALM BAY HOSPITAL
      1425 MALABAR RD, NE
      PALM BAY, FL 32907
    • PARRISH MEDICAL CENTER
      951 N WASHINGTON AVE
      TITUSVILLE, FL 32796
  • HOME HEALTH AGENCY
    • KINDRED AT HOME
      8247 DEVEREUX DR STE 103
      MELBOURNE, FL 32940
    • KINDRED AT HOME
      2475 PALM BAY RD NE
      PALM BAY, FL 32905
    • NHC HOMECARE
      2395 N COURTENAY PKWY STE 101
      MERRITT ISLAND, FL 32953
  • NURSING HOME
    • ANCHOR CARE & REHABILITATION CENTER
      1515 PORT MALABAR BLVD NE
      PALM BAY, FL 32905
    • AVANTE AT MELBOURNE INC
      1420 SOUTH OAK STREET
      MELBOURNE, FL 32901
    • COURTENAY SPRINGS VILLAGE
      1100 SOUTH COURTENAY PARKWAY
      MERRITT ISLAND, FL 32952
    • ROCKLEDGE HEALTH AND REHABILITATION CENTER
      587 BARTON BLVD
      ROCKLEDGE, FL 32955
    • ROYAL OAKS NURSING AND REHAB CENTER
      2225 KNOX MCRAE DR
      TITUSVILLE, FL 32780
  • HOSPICE
    • HOSPICE OF HEALTH FIRST INC
      1131 W NEW HAVEN AVE STE 102
      WEST MELBOURNE, FL 32904
    • ST FRANCIS REFLECTIONS HOSPICE
      1250B GRUMMAN PLACE
      TITUSVILLE, FL 32780
    • VITAS HEALTHCARE CORPORATION OF FLORIDA
      4450 W EAU GALLIE BLVD STE 250
      MELBOURNE, FL 32934
    • WUESTHOFF HEALTH SYSTEM BREVARD HOSPICE AND PALLIA
      8060 SPYGLASS HILL RD
      VIERA, FL 32940

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