Active NPI
Megan Alyssa Mooney, PA
- Physician Assistant
- Schenectady, NY
National Provider Identifier
1417487802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 020856
- Practice address
- 1101 Nott St
Schenectady, NY 12308-2425 - Phone
- (518) 243-1916
- Fax
- (518) 243-1853
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 020856 | NY | |
| Physician Assistant | 363A00000X | 020856 | NY | Primary |
Addresses
Primary practice location
1101 Nott St
Schenectady, NY 12308-2425
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
2546 Balltown Rd Ste 300
Schenectady, NY 12309-1079
Phone (518) 377-8184
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
137 Hoosick St
Troy, NY 12180-2323
Phone (518) 274-4305
Hospital & facility affiliations
- Albany Medical Center Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Health Partners Medical Associates, P.C. | Physician Assistant | Current | Accepting new patients |
Locations
2546 Balltown Rd
Ste 300
Schenectady, NY 12309
Phone (518) 377-8184
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
Organizations & group practices 2
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.
-
- Dermatology Physician
- Troy, NY
- NPI 1811377575
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Physician Assistant
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417487802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 NOTT ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082425",
"telephone_number": "518-243-1916",
"fax_number": "518-243-1853"
}
],
"practiceLocations": [
{
"address_1": "2546 Balltown Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123091079",
"country_code": "US",
"telephone_number": "518-377-8184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOONEY",
"first_name": "MEGAN",
"middle_name": "ALYSSA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2022-07-21",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "020856",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020856",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2546 Balltown Rd Ste 300",
"city": "Schenectady",
"state": "NY",
"country_code": "US",
"postal_code": "123091079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.