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

Individual provider Speech-Language Pathologist · NPI 1457834236

Nicole Mahon, SLP is a Qualified Speech Language Pathologist in Staten Island, New York. Qualified in 2009, 17 years ago. Practices with Metro Physical Occupational Speech Massage Therapy and Acupuncture Pll, a 448-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2018
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

1415 Richmond Ave
Staten Island, NY 10314-1553
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 020698-1 (NY)

Record details

NPI number1457834236
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedSeptember 8, 2018
Last updated in NPPESSeptember 8, 2018

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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