Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James Mahoney

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770336703

James Mahoney is a Nurse Practitioner in Oakdale, New York. Qualified in 2025, 1 year ago. Practices with Family Residences and Essential Enterprises Inc, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

405 Locust Ave
Oakdale, NY 11769-1651
Phone: (631) 868-1244
Fax: (631) 567-1648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Brooksite Dr Ste 130, Smithtown, NY 11787-3492 — (631) 914-2811

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 407406 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 750620 (NY)

Record details

NPI number1770336703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address405 Locust Ave, Oakdale, NY 11769-1651

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Family Residences And Essential Enterprises Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oakdale