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

Active since July 07, 2018PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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 and is a graduate of Other (2017).

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
Medical School CMSOtherGraduated 2017
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Mahoney Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527308279
PECOS Enrollment IDI20210225003194
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Sean Mahoney reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
0.6 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Regents Of The University Of California
2,588 mi
Endocrinology, Diabetes & Metabolism
1600 DIVISADERO ST
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
NPI 1235322348 (415) 353-9720
University Of California San Francisco
2,589 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
2,589 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
Ucsf Dept Of Surgery
2,589 mi
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
NPI 1477627537 (415) 353-2161
Ucsf Pediatrics Associates
2,589 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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)
410 LAKEVILLE RD STE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5400
JULIANA DERFEL MD
Internal Medicine (Pulmonary Disease)
410 LAKEVILLE RD STE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5400
MICHAEL MURN M.D.
Internal Medicine (Pulmonary Disease)
410 LAKEVILLE RD STE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5400
TESSY THOMAS ANP-BC
Nurse Practitioner (Adult Health)
410 LAKEVILLE RD STE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5400
MRS. JACQUELINE CONCEPCION AGNP-BC
Nurse Practitioner (Primary Care)
410 LAKEVILLE RD STE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5400
DR. ABHINAV AGRAWAL M.D.
Internal Medicine (Pulmonary Disease)
410 LAKEVILLE RD STE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5432
JESSICA TRENTACOSTE FNP-BC
Nurse Practitioner (Family)
410 LAKEVILLE RD STE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5400
SHANNON BROWN RPSGT
Specialist/Technologist
410 LAKEVILLE RD STE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Sean Mahoney located?

Sean Mahoney practices at 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042. The listed phone number is (516) 465-5400.

What is Sean Mahoney's specialty?

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

Is Sean Mahoney enrolled in Medicare?

Yes. Sean Mahoney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sean Mahoney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Mahoney reassigns Medicare benefits to 6 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Mahoney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.