Active NPI
Jean Barnett Mooney, PED NURSE PRACTITION
- Pediatrics Physician
- Geneseo, NY
National Provider Identifier
1477599876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F3801651
- Practice address
- 3889 North Road
Geneseo, NY 14454 - Phone
- (585) 243-4000
- Fax
- (585) 243-4002
- NPI assigned
- Jun 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F3801651 | NY | Primary |
Addresses
Primary practice location
3889 North Road
Geneseo, NY 14454
Mailing address
3889 North Road
Geneseo, NY 14454
Phone (585) 243-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109217DL | Other | PFC | |
| 02258184 | Other | MED | |
| 000926885001 | Other | HNN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3801651 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David H. Breen MD PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477599876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3889 NORTH ROAD",
"city": "GENESEO",
"state": "NY",
"postal_code": "14454",
"telephone_number": "585-243-4000",
"fax_number": "585-243-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3889 NORTH ROAD",
"city": "GENESEO",
"state": "NY",
"postal_code": "14454",
"telephone_number": "585-243-4000",
"fax_number": "585-243-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "JEAN",
"middle_name": "BARNETT",
"credential": "PED NURSE PRACTITION",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "F3801651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PFC",
"identifier": "109217DL",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED",
"identifier": "02258184",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNN",
"identifier": "000926885001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Geneseo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.