Active NPI
Jonell Young Mahoney, MD
- Pediatrics Physician
- Loxahatchee, FL
National Provider Identifier
1932100237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 0060657
- Practice address
- 12983 Southern Blvd Ste 100
Loxahatchee, FL 33470-9254 - Phone
- (561) 793-2500
- Fax
- (561) 793-2510
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | ME 0060657 | FL | Primary |
Addresses
Primary practice location
12983 Southern Blvd Ste 100
Loxahatchee, FL 33470-9254
Mailing address
12983 Southern Blvd Ste 100
Loxahatchee, FL 33470-9254
Phone (561) 793-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372363100 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 0060657 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceans Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBEHAA
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.
-
- Pediatrics Physician
- Loxahatchee, FL
- NPI 1538446752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1932100237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12983 SOUTHERN BLVD STE 100",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709254",
"telephone_number": "561-793-2500",
"fax_number": "561-793-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12983 SOUTHERN BLVD STE 100",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709254",
"telephone_number": "561-793-2500",
"fax_number": "561-793-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "JONELL",
"middle_name": "YOUNG",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 0060657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372363100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.