Ellen M Mahoney, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

233854 Issued in MA

Practice address

73 Pelham Island Rd
Wayland, MA 01778-2625

Phone

(508) 358-2918

Fax

(508) 358-6054

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emahoney8209@direct.chppoc.masshiway.net

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

• Wayland Pediatrics LLC

  • Pediatrics Physician
  • Wayland, MA
  • NPI 1134757750
  NPD Authorized official
• Wayland Pediatrics LLC

  • Pediatrics Physician
  • Wayland, MA
  • NPI 1033374731
  NPD

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1336339472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PELHAM ISLAND RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017782625",
            "telephone_number": "508-358-2918",
            "fax_number": "508-358-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PELHAM ISLAND RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017782625",
            "telephone_number": "508-358-2918",
            "fax_number": "508-358-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "233854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longfellow Holistic Health Center
• Neena Lukose, RPH
• Gail Elizabeth Lydon, RN MS CS
• Robert Keller Macmath II, MS
• Hanna Macmillan, SLP
• Donald W Marion, M.D.
• Deborah Joan Marshall, MA, ATR-BC, LMHC
• Linda E Martinez, PA-C
• Susan Massad, HSD, RD, CHES
• Mary E. McCormack

• Pediatrics Physician in Wayland, MA
• Providers in Wayland, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.