Quinn Maloney

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342197 Issued in NY

Practice address

350 New Campus Dr
Brockport, NY 14420-2997

Phone

(585) 395-2414

Fax

(585) 395-2559

NPI assigned

Dec 26, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• State University of New York College at Brockport

  • Student Health Clinic/Center
  • Brockport, NY
  • NPI 1033465539
  NPD (past)

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1346756566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW CAMPUS DR",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202997",
            "telephone_number": "585-395-2414",
            "fax_number": "585-395-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NEW CAMPUS DR",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202997",
            "telephone_number": "585-395-2414",
            "fax_number": "585-395-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "QUINN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Mahaney, LCSW
• Jennifer Ann Maher, LMT
• Mary Dahl Maher, CNM
• Samantha Mahon
• Kimberley J. Maier, R.PH.
• Laurie Delores Marie Mansfield, RN
• Mary Mantegna, RN
• David Gerould Markham, L.C.S.W.
• Amy Dania Mason, LMT
• Alison McAvoy, PHARM.D

• Family Nurse Practitioner in Brockport, NY
• Providers in Brockport, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.