Mr Gregory Charles Potter, LCSW, LCADC is a
Counselor - Mental Health based in Port Murray, New Jersey. Mr Gregory Charles Potter is licensed to practice in New Jersey (license number 44SC05754100) and his current practice location is
336 Turkey Top Rd, Port Murray, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(908) 625-0989.
NPI number for Mr Gregory Charles Potter is 1790267847 and his current mailing address is 336 Turkey Top Rd, Port Murray, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790267847.
Healthcare Provider's Profile
Full Name | Mr Gregory Charles Potter |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 336 Turkey Top Rd, Port Murray, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790267847
- Provider Enumeration Date: 09/05/2018
- Last Update Date: 09/05/2018
Medical Identifiers
Medical identifiers for Mr Gregory Charles Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790267847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 44SC05754100 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gregory Charles Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Gregory Charles Potter, LCSW, LCADC 336 Turkey Top Rd, Port Murray, NJ 07865-3003 Ph: (908) 625-0989 | Mr Gregory Charles Potter, LCSW, LCADC 336 Turkey Top Rd, Port Murray, NJ 07865-3003 Ph: (908) 625-0989 |
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