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STEPHANIE MAHONEY
NPI 1669836599
Physician Assistant in New York, NY

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
123 EVERET ROAD, NEW YORK, NY 10028(518) 701-2085(518) 701-2020 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2024, Oct 7, 2021, Mar 17, 2018 (3 updates tracked since 2018).

About Stephanie Mahoney NPPES

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

STEPHANIE MAHONEY (NPI 1669836599) is an individual physician assistant in New York, New York, licensed in New York (019743-1) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669836599
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE MAHONEY
Location Address123 EVERET ROADNew York, NY 10028-3106
Mailing Address123 Everet RoadNew York, NY 10028-4246 · (518) 701-2085 · Fax (518) 701-2020
Phone(518) 701-2085
Fax(518) 701-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1669836599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 019743-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
123 EVERET ROAD, New York, NY 10028
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Other Identifiers 1

Other019743-1NY · Nys License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Mahoney 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 ID4385930197
PECOS Enrollment IDI20160902001392
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 10028 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephanie Mahoney's NPI number?

The NPI number for Stephanie Mahoney is 1669836599. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Stephanie Mahoney located?

Stephanie Mahoney practices at 123 Everet Road, New York, NY 10028. The listed phone number is (518) 701-2085.

What is Stephanie Mahoney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephanie Mahoney enrolled in Medicare?

Yes. Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Mahoney was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.