Jacqueline McMahon, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

292374 Issued in NY

Practice address

290 Sunrise Hwy
Lindenhurst, NY 11757-2520

Phone

(631) 226-3600

Fax

(631) 226-3607

NPI assigned

May 12, 2015

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: jacqueline.mcmahon.1@3609.direct.athenahealth.com

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.

• Keith R Hoerning, D.O.

  • Family Medicine Physician
  • Lindenhurst, NY
  • NPI 1164517413
  Medicare reassignment

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1407234362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572520",
            "telephone_number": "631-226-3600",
            "fax_number": "631-226-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572520",
            "telephone_number": "631-226-3600",
            "fax_number": "631-226-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954927",
            "country_code": "US",
            "telephone_number": "631-376-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JACQUELINE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-09-11",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "292374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily McGibbon
• Jason McGowan
• Greer McGuinness, RD
• Robert McKee
• Maria McKenzie, PT
• Carly A McMann, MHC-LP
• Alan R Melton, MD
• Noelle Menchini
• Steven L. Mendelsohn, MD
• Hong Meng, M.D.

• Family Medicine Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.