Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Potwora

Individual provider Physician Assistant · NPI 1952032575

Jacob Potwora is a Physician Assistant in Amherst, New York. Qualified in 2023, 3 years ago. Practices with Elise C Deluke MD, PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4949 Main St
Amherst, NY 14226-4013
Phone: (716) 573-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030986 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 030986 (NY)

Record details

NPI number1952032575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2022
Last updated in NPPESMay 23, 2025
Certification dateMay 21, 2025
Mailing address18 Navaho Pkwy, Buffalo, NY 14210-1814

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Elise C Deluke M.D., Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Amherst