Individual provider Active NPI

Liam Patrick Mahoney

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1407243504
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD17234 Issued in RI
Practice address
1 Boston Medical Ctr PL Dept of
Dowling 1 South Room 1322
Boston, MA 02118-2908
Phone
(617) 414-4929
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 278720 MA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD17234 RI Primary

Addresses

Primary practice location

1 Boston Medical Ctr PL Dept of
Dowling 1 South Room 1322
Boston, MA 02118-2908

Mailing address

1 Boston Medical Ctr PL Dept of
Dowling 1 South Room 1322
Boston, MA 02118-2908
Phone (617) 414-4929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190719000962 MA Practitioner - Emergency Medicine 1355656695 Reassigns benefits to 3 organizations
I20241213002029 NH Practitioner - Emergency Medicine 1355656695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Emergency Medicine Services of NH, LLCGroup PAC ID 3173988474, 66 clinicians
Community Medical Associates, Inc.Group PAC ID 6002946928, 155 clinicians
Jal Practice, LLCGroup PAC ID 6901346972, 2 clinicians

Practice addresses (Care Compare)

26 Plaistow Rd
Plaistow, NH 03865-2804
Phone (603) 432-1500

70 E St
Methuen, MA 01844-4597
Phone (978) 687-0151

800 W Cummings Park
Woburn, MA 01801-6372
Phone (781) 776-1944

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
278720MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Mens Health LLC Single Specialty CurrentSince Mar 20, 2025 Accepting new patients
Jal Practice Single Specialty CurrentSince Aug 19, 2024 Accepting new patients
Community Medical Associates, Inc. Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Steward Emergency Physicians, Inc Single Specialty CurrentSince Jun 15, 2020 Accepting new patients
Emergency Medicine Services of NH, LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

140 Commonwealth Ave
Ste 202
Danvers, MA 01923
Phone (978) 762-6262

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

70 East St
Methuen, MA 01844
Phone (978) 682-1906

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

800 W Cummings Park
Ste 6250
Woburn, MA 01801
Phone (781) 569-2112

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

26 Plaistow Rd
Plaistow, NH 03865
Phone (603) 257-6100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1407243504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL DEPT OF",
            "address_2": "DOWLING 1 SOUTH ROOM 1322",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "617-414-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL DEPT OF",
            "address_2": "DOWLING 1 SOUTH ROOM 1322",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "617-414-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "LIAM",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "278720",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD17234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.