Individual provider Active NPI

Carolyn Elizabeth McMahon, FNP

  • Family Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1447424767
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335324 Issued in NY
Practice address
1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone
(315) 798-1805
Fax
(315) 798-1708
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335324 NY Primary
Registered Nurse 163W00000X 551688 NY

Addresses

Primary practice location

1729 Burrstone Rd
New Hartford, NY 13413-1001

Mailing address

1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1805

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080512000729 NY Practitioner - Nurse Practitioner 5193804482 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel S Berman MD Infectious Diseases PCGroup PAC ID 2567723562, 17 clinicians
Ajay Goel Physician PCGroup PAC ID 7113015272, 4 clinicians

Practice addresses (Care Compare)

491 State Route 208
Suite 211
Monroe, NY 10950-1656
Phone (718) 633-7828

91 Perimeter Rd
Suite 120
Rome, NY 13441-4018
Phone (315) 337-0539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
551688NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ny Nurse Practitioner in Family Health PLLC CurrentSince Jun 1, 2025 Accepting new patients
Carolyn E McMahon NP in Family Health PC CurrentSince Nov 18, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 6, 2021 Accepting new patients
New York General Medical Services PC CurrentSince Dec 1, 2017 Accepting new patients
Daniel S. Berman, M.D., Infectious Diseases P.C. CurrentSince Apr 22, 2024 Accepting new patients
Digestive Disease Medicine of Central New York, LLP PastSince Jul 1, 1995 Accepting new patients

Locations

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

1235 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 231-4300

31 Spencer St
Ste 1501
Brooklyn, NY 11205
Phone (718) 851-3700

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

491 State Route 208
Ste 211
Monroe, NY 10950
Phone (718) 633-7828

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

2604 Elmwood Ave
Rochester, NY 14618
Phone (201) 903-2461

801 N James St
Rome, NY 13440
Phone (315) 337-0550

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1447424767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 BURRSTONE RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131001",
            "telephone_number": "315-798-1805",
            "fax_number": "315-798-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 BURRSTONE RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131001",
            "telephone_number": "315-798-1805",
            "fax_number": "315-798-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335324",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "551688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.