Active NPI
John J. Mahoney II, D.C.
- Chiropractor
- Newark, DE
National Provider Identifier
1811907736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DEF10000533
- Practice address
- 1536 Capitol TRL
Newark, DE 19711-5716 - Phone
- (302) 454-1200
- Fax
- (302) 454-1238
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DEF10000533 | DE | Primary |
Addresses
Primary practice location
1536 Capitol TRL
Newark, DE 19711-5716
Mailing address
1536 Capitol TRL
Newark, DE 19711-5716
Phone (302) 454-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 Patriot Dr
Suite 105
Middletown, DE 19709-8506
Phone (302) 828-0048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEF10000533 | DE | MD | Chiropractor |
| 009538 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westown Wellness LLC | Chiropractor | Current | Accepting new patients |
| First State Nutrition LLC | Past | Accepting new patients | |
| Lantana Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
103 Patriot Dr
Ste 105
Middletown, DE 19709
Phone (302) 828-0048
1536 Kirkwood Hwy
Newark, DE 19711
Phone (302) 454-1200
Organizations & group practices 3
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.
-
- Chiropractor
- Middletown, DE
- NPI 1912597923
-
- Nutritionist
- Wilmington, DE
- NPI 1598268229
-
- Chiropractor
- Hockessin, DE
- NPI 1326051673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1811907736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 CAPITOL TRL",
"city": "NEWARK",
"state": "DE",
"postal_code": "197115716",
"telephone_number": "302-454-1200",
"fax_number": "302-454-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 CAPITOL TRL",
"city": "NEWARK",
"state": "DE",
"postal_code": "197115716",
"telephone_number": "302-454-1200",
"fax_number": "302-454-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "JOHN",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "DEF10000533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.