Individual provider Active NPI

Sean Mahoney, NP

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1114413770
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342295 Issued in NY
Practice address
410 Lakeville Rd Ste 107
New Hyde Park, NY 11042-1102
Phone
(516) 465-5400
NPI assigned
Jul 7, 2018
Last updated
Jul 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342295 NY Primary

Addresses

Primary practice location

410 Lakeville Rd Ste 107
New Hyde Park, NY 11042-1102

Mailing address

410 Lakeville Rd Ste 107
New Hyde Park, NY 11042-1102
Phone (516) 465-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190318000526 NY Practitioner - Nurse Practitioner 8527308279 Reassigns benefits to 1 organization
I20210225003194 CA Practitioner - Nurse Practitioner 8527308279 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Dept of SurgeryGroup PAC ID 7719886373, 211 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342295NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Feb 17, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 4, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 17, 2021 Accepting new patients
University of California San Francisco CurrentSince Feb 17, 2021 Accepting new patients
UCSF Dept of Surgery CurrentSince Feb 17, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of California CurrentSince Feb 17, 2021 Accepting new patients
University of California San Francisco CurrentSince Feb 17, 2021 Accepting new patients
UCSF Pediatrics Associates CurrentSince Feb 17, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 4, 2019 Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

400 Parnassus Ave
Rm A6110
San Francisco, CA 94143
Phone (415) 353-1606

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

27005 76th Ave
#222
New Hyde Park, NY 11040
Phone (718) 470-7260

410 Lakeville Rd
Ste 107
North New Hyde Pk, NY 11042
Phone (516) 465-5400

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: smahoney176358@direct-ucsfmedicalcenter.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1114413770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD STE 107",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421102",
            "telephone_number": "516-465-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD STE 107",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421102",
            "telephone_number": "516-465-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "SEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.