Organization Active NPI

Joanne F Mahoney MD PA

  • Internal Medicine Physician
  • Key Largo, FL
National Provider Identifier
1063714277
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOANNE F MAHONEY MD PA
Practice address
95360 Overseas Hwy
Suite 1
Key Largo, FL 33037-2038
Phone
(305) 852-7417
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joanne Frances Mahoney, MDNPI 1689691628
Title
Owner
Phone
(305) 852-7417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

95360 Overseas Hwy
Suite 1
Key Largo, FL 33037-2038

Mailing address

95360 Overseas Hwy
Suite 1
Key Largo, FL 33037-2038
Phone (305) 852-7417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000210 FL Part B Supplier - Clinic/Group Practice 0446446579 Receives reassigned benefits from 1 practitioner
Practice locations: Key Largo, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0278393Joanne F Mahoney MD PA95360 Overseas Hwy 1, Key Largo, FL 33037Provider-performed microscopyMay 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708819200000",
    "number": "1063714277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95360 OVERSEAS HWY",
            "address_2": "SUITE 1",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372038",
            "telephone_number": "305-852-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95360 OVERSEAS HWY",
            "address_2": "SUITE 1",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372038",
            "telephone_number": "305-852-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE F MAHONEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-852-7417",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.