MR. BENJAMIN JOSEPH MAHONEY APRN NPI 1033788237

NPI Information

NPI: 1033788237
Provider Name: MR. BENJAMIN JOSEPH MAHONEY, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1 LONG WHARF DR STE 321
NEW HAVEN, CT
ZIP 06511
Phone: (203) 781-4600
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MR. Benjamin Joseph Mahoney, APRN is a primary care nurse practitioner in New Haven, CT with 3 years of experience. MR. Benjamin Joseph Mahoney, APRN NPI is 1033788237. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 LONG WHARF DR STE 321
NEW HAVEN, CT
ZIP 06511-991
Phone: (203) 781-4600

The NPI 1033788237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2021 and was last updated on 1/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	009732	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	004217099	MEDICAID	CONNECTICUT
2	008056033	MEDICAID	CONNECTICUT
3	008068298	MEDICAID	CONNECTICUT
4	008039745	MEDICAID	CONNECTICUT
5	008103793	MEDICAID	CONNECTICUT
6	008056168	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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