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

Scott Poticha, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1306397955

Scott Poticha, AGACNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2002, 24 years ago. Practices with Calvary Hospital Inc, a 50-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-5561
Fax: (212) 426-5054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 431063 (NY)

Record details

NPI number1306397955
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESApril 12, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Calvary Hospital Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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