SEAN MAHONEY NP
NPI 1114413770
Nurse Practitioner - Family in New Hyde Park, NY

Q: What is Sean Mahoney's NPI number?

The NPI number for Sean Mahoney is 1114413770. It was assigned to this individual provider in the NPPES registry on July 7, 2018.

Q: What is Sean Mahoney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Mahoney was last updated on July 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2018PECOS Enrolled

410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042(516) 465-5400 Get Directions Write a Review

NPPES record last updated: July 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sean Mahoney Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN MAHONEY NP (NPI 1114413770) is an individual family provider in New Hyde Park, New York, licensed in New York (342295) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114413770

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSEAN MAHONEYCredential: NP

Location Address410 LAKEVILLE RD STE 107New Hyde Park, NY 11042-1102

Mailing Address410 Lakeville Rd Ste 107New Hyde Park, NY 11042-1102 · (516) 465-5400

Phone(516) 465-5400

Sole ProprietorNo

Enumeration DateJuly 7, 2018

✔ NPI 1114413770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 342295

410 LAKEVILLE RD STE 107, New Hyde Park, NY 11042

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Mahoney Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELEINE BASIST MD

Internal Medicine (Pulmonary Disease)