TARA MAHONEY (NPI# 1619120938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619120938 |
| Entity Type | Individual |
| Full Name | TARA MAHONEY |
| Credential | NP |
| Practice Address |
4 Technology Dr East Setauket NY 11733-4080 |
| Practice Telephone | 6314444601 |
| Practice Fax Number | 6314444990 |
| Mailing Telephone | 6314444601 |
| Mailing Fax Number | 6314444990 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2013-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F382012 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427826 | Tara Colleen Mahoney | Counselor | 158 Flocktown Rd, Long Valley, NJ 07853-3545 | 2020-05-01 |
| 1962860999 | Tara Mahoney | Nurse Practitioner | 2350 E Germann Rd, Ste 31, Chandler, AZ 85286-1579 | 2016-02-04 |
| 1073987046 | Tara Mahoney | Counselor | 920 Sw Frazer Ave, Pendleton, OR 97801-2800 | 2015-11-13 |
| 1326121062 | Tara Ann Mahoney | Counselor | 859 Willard St, 340, Quincy, MA 02169-7482 | 2006-10-24 |
| 1750472163 | Tara L Mahoney | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2006-09-28 |
| Street Address |
4 TECHNOLOGY DR |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921558 | Jack Oats | Ophthalmology | 4 Technology Dr, Suite 150, East Setauket, NY 11733-4080 | 2005-06-13 |
| 1346774122 | Setauket Medical, PC | Internal Medicine | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 | 2017-04-18 |
| 1104287432 | Setauket Surgery, PC | Surgery | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 | 2016-03-15 |
| 1902279029 | Lisa Ambrose | Nurse Practitioner | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4080 | 2015-11-11 |
| 1376940742 | Blue Harbor Medical PC | Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 | 2014-12-01 |
| 1437565520 | Jaclyn N Mascia | Dietitian, Registered | 4 Technology Dr, Suite 250, East Setauket, NY 11733-4080 | 2014-07-09 |
| 1184030918 | Karim A Paracha Physician PC | Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 | 2014-07-01 |
| 1255741153 | Harbor View Medical Services, P.C. | Surgery | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4080 | 2014-04-30 |
| 1437582103 | Shelly Beth Waldman | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2013-08-16 |
| 1598101180 | Vicki Kumari Masson | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2013-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932445509 | Kathryn Brigitte Fassnacht | Nurse Practitioner | 37 Research Way, East Setauket, NY 11733-3465 | 2012-12-29 |
| 1073885604 | Cristin Rose Gengler | Nurse Practitioner | 4 Technology Dr, East Setauket, NY 11733-4080 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
Please comment or provide details below to improve the information on TARA MAHONEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.