James Joseph Mahoney, MD CM

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40272 Issued in MA

Practice address

695 Truman Highway
Hyde Park, MA 02136

Phone

(617) 364-4385

Fax

(617) 364-7363

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1114080116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 CROWN COLONY DR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690913",
            "telephone_number": "857-403-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 TRUMAN HIGHWAY",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "02136",
            "telephone_number": "617-364-4385",
            "fax_number": "617-364-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MD CM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "40272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059711",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florise Luc
• Janella Luc
• Sophie Macdonald, NP
• Stuart J. Macdonald, D.M.D.
• Thamires De Lima Mafra
• Sharrone Marcano
• Muthsous Marcel, NP
• Reynaldo N Marte Mendez
• Marte Transportation Services LLC
• Derek Michael Martin, DMD

• Internal Medicine Physician in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.