Brian R McMahon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

168902 Issued in NY

Practice address

125 Slosson Ave
Staten Island, NY 10314-2517

Phone

(719) 390-0400

Fax

(718) 390-0566

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: bmcmahon296421@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Island Pediatrics, P.C.

  • Pediatrics Physician
  • Staten Island, NY
  • NPI 1245583137
  NPD (past) Authorized official
• Richmond Medical Center

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1740389154
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1457325607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RICE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142509",
            "telephone_number": "718-390-0400",
            "fax_number": "718-390-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SLOSSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142517",
            "telephone_number": "719-390-0400",
            "fax_number": "718-390-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "168902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy McLoughlin, FNP
• Judith McLoughlin, MD
• Ryan Casey McLoughlin, LMHC
• Adele McMahon, LCSW
• Allison McMahon, RN
• Brianna McMahon
• Gerianne McMahon, SLP
• Maureen McMahon, BA
• Patricia Ann McMahon, RN
• Elizabeth McMaster

• Pediatrics Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.