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MONIKA POTOCKI MD
NPI 1760970289
Obstetrics & Gynecology in Somerset, NJ

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment
59 VERONICA AVE, SOMERSET, NJ 08873(732) 565-5490 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2024, Apr 30, 2018 (2 updates tracked since 2018).

About Monika Potocki Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONIKA POTOCKI MD (NPI 1760970289) is an individual obstetrics & gynecology provider in Somerset, New Jersey, licensed in New Jersey (25MA11951500) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1760970289
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMONIKA POTOCKICredential: MD
Location Address59 VERONICA AVESomerset, NJ 08873-3579
Mailing Address59 Veronica AveSomerset, NJ 08873-3579
Phone(732) 565-5490
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2018
Enumeration DateApril 30, 2018
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1760970289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA11951500
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
59 VERONICA AVE, Somerset, NJ 08873
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monika Potocki Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628454113
PECOS Enrollment IDI20231228001660
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Monika Potocki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Peter's University Hospital
2.6 mi
General Acute Care Hospital
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Saint Peters University Hospital
  • 325 clinicians in this Medicare group
NPI 1114924834 (732) 745-6651
Saint Peter's Healthcare System Physician Associates
2.7 mi
General Practice
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
NPI 1548569361 (732) 745-6651

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL ROTHSTEIN M.D.
Anesthesiology
59 VERONICA AVE
SOMERSET, NJ 08873
Somerset County (732) 873-6868
ARETE HEALTH GROUP P.C.
Pain Medicine (Interventional Pain Medicine)
59 VERONICA AVE
SOMERSET, NJ 08873
Somerset County (732) 873-6868
UNIVERSITY PAIN MEDICINE CENTER, LLC
Pain Medicine (Interventional Pain Medicine)
59 VERONICA AVE
SOMERSET, NJ 08873
Somerset County (732) 873-6868
BRENDAN O'DONOVAN DO
Pain Medicine (Interventional Pain Medicine)
59 VERONICA AVE
SOMERSET, NJ 08873
Somerset County (732) 873-6868
HUDON VALLEY MEDICAL PC
Clinic/Center (Medical Specialty)
59 VERONICA AVE
SOMERSET, NJ 08873
Somerset County (732) 339-3068
DR. DIDIER A. DEMESMIN M.D.
Pain Medicine (Interventional Pain Medicine)
59 VERONICA AVE
SOMERSET, NJ 08873
Somerset County (732) 873-6868
METROPOLITAN ANESTHESIA CONSULTANTS, P.C.
Anesthesiology
59 VERONICA AVE
SOMERSET, NJ 08873
Somerset County (732) 875-3500
STEMMEE
Clinic/Center (Ambulatory Surgical)
59 VERONICA AVE
SOMERSET, NJ 08873
Somerset County (732) 875-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monika Potocki's NPI number?

The NPI number for Monika Potocki is 1760970289. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Monika Potocki located?

Monika Potocki practices at 59 Veronica Ave, Somerset, NJ 08873. The listed phone number is (732) 565-5490.

What is Monika Potocki's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Monika Potocki enrolled in Medicare?

Yes. Monika Potocki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Monika Potocki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monika Potocki reassigns Medicare benefits to 2 organizations: Saint Peter's University Hospital (New Brunswick, NJ) and Saint Peter's Healthcare System Physician Associates (New Brunswick, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monika Potocki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monika Potocki accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Monika Potocki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monika Potocki was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.