Active NPIIndividual provider

Kathleen T Mahoney, CPNP-PC

Nurse Practitioner, Pediatrics in Raritan, New Jersey

NPI Number1497276828
Practice location
575 Route 28 Ste 2100, Raritan, NJ 08869-1363
Fax
—
Last updated
September 16, 2025

Kathleen Tewey Mahoney is a Nurse Practitioner, Pediatrics based in Raritan, NJ. Kathleen Tewey Mahoney practices in Raritan, NJ and has the professional credentials of CPNP-PC. The NPI Number for Kathleen Tewey Mahoney is 1497276828 and holds a License No. R201092 (MD). The current practice location address for Kathleen Tewey Mahoney is 575 Route 28 Ste 2100, Raritan, NJ 08869-1363 and can be reached out via phone at 443-797-3900.

Provider Profile Details

NPI Number
1497276828
Provider Name
Kathleen Tewey Mahoney
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
575 Route 28 Ste 2100, Raritan, NJ 08869-1363
Phone Number
443-797-3900
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2017
Last Update Date
September 16, 2025
Certification Date
September 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
575 Route 28 Ste 2100
Raritan, NJ 08869-1363
Zip
08869-1363
Phone Number
443-797-3900
Raritan, NJ 08869Get directions →

Provider Business Mailing Address Details

Address
575 Route 28 Ste 2100
Raritan, NJ 08869-1363
City
Raritan
State
NJ
Zip
08869-1363
Phone Number
443-797-3900

License Information

License Number (1)
R201092
License State (1)
MD
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (2)
26NJ15381100
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen T Mahoney, CPNP-PC?

The NPI number of Kathleen T Mahoney, CPNP-PC is 1497276828. It was assigned on July 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Kathleen T Mahoney, CPNP-PC?

Kathleen T Mahoney, CPNP-PC is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MD under license number R201092.

Where does Kathleen T Mahoney, CPNP-PC practice?

The practice location is 575 Route 28 Ste 2100, Raritan, NJ 08869-1363. The office can be reached at 443-797-3900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497276828 directly on the NPPES registry website.

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