Maurice J Mahoney, MD

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

013672 Issued in CT

Practice address

20 York St
Yale Children'S Hospital, West Pavilion, 2ND Floor
New Haven, CT 06510-3220

Phone

(203) 785-2660

Fax

(203) 785-3404

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1992793186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-785-2660",
            "fax_number": "203-785-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-785-2660",
            "fax_number": "203-785-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "MAURICE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CT",
            "license": "013672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001136720",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swapnil Singh Mahendrakar, DMD
• Mary Grey Maher, M.D.
• Jose M Mahfoud, N.D.
• Tuba Mahmood, MD
• Heather A. Mahoney, LCSW
• Forrest Mahony, MD
• Vivian Mai-Tran
• Julia Maia, NP
• Kieran Patrick Maiorana, LPC
• Meverlyn Maisonave

• Clinical Genetics (M.D.) Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Genetics (M.D.) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.