MR. TIMOTHY BRIAN MAHAN NP NPI 1437376498

NPI Information

  • NPI: 1437376498
  • Provider Name: MR. TIMOTHY BRIAN MAHAN, N,P,
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 215 E MAIN ST
    SMITHTOWN, NY
    ZIP 11787
  • Phone: (631) 265-5858

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NPI Details

MR. Timothy Brian Mahan, N,P, is an adult health nurse practitioner in Smithtown, NY. MR. Timothy Brian Mahan, N,P, NPI is 1437376498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

215 E MAIN ST
SMITHTOWN, NY
ZIP 11787-807
Phone: (631) 265-5858

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.

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
1363LA2200XNurse PractitionerAdult HealthF302209-1NEW YORKYes

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: 3/30/2025

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