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

Mr. Abraham Dasalla Potencion, APRN, BC

Individual provider Family Nurse Practitioner · NPI 1366494361

Mr. Abraham Dasalla Potencion, APRN, BC is a Nurse Practitioner in Staten Island, New York. Qualified in 1997, 29 years ago. Practices with Orchard Cardiovascular Imaging, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
29
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-6134
Fax: (718) 226-6133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00115800 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 332578 (NY)

Record details

NPI number1366494361
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , BC
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESOctober 10, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Orchard Cardiovascular Imaging — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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