Individual provider Active NPI

Rachel Mahony, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1215708375
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350781 Issued in NY
Practice address
1200 South Ave Ste 307
Staten Island, NY 10314-3421
Phone
(718) 698-3777
NPI assigned
Jan 9, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 350781 NY Primary

Addresses

Primary practice location

1200 South Ave Ste 307
Staten Island, NY 10314-3421

Mailing address

1200 South Ave Ste 307
Staten Island, NY 10314-3421
Phone (718) 698-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240914000264 NY Practitioner - Nurse Practitioner 5193265379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
350781NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Long Island, LLP CurrentSince Sep 1, 2024 Accepting new patients
Rheumatology Associates of L.I., LLP CurrentSince Sep 1, 2024 Accepting new patients
Rheumatology Associates of L.I., LLP Past Accepting new patients

Locations

554 E Main St
Riverhead, NY 11901
Phone (631) 360-7778

315 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 360-7778

521 Route 111
Ste 307
Smithtown, NY 11788
Phone (877) 275-3370

1200 South Ave
Ste 307
Staten Island, NY 10314
Phone (718) 698-3777

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rachel.mahony.p1@direct.rali.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1215708375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SOUTH AVE STE 307",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143421",
            "telephone_number": "718-698-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH AVE STE 307",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143421",
            "telephone_number": "718-698-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONY",
        "first_name": "RACHEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.