{"npi":"1669836599","type":"NPI-1","status":"active","name":{"display":"Stephanie Mahoney","other":[],"first":"STEPHANIE","last":"MAHONEY"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"NY","license":null},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NY","license":"019743-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"123 EVERET ROAD","city":"NEW YORK","state":"NY","postal_code":"100283106","country_code":"US","phone":"5187012085","fax":"5187012020"},{"purpose":"MAILING","street_1":"123 EVERET ROAD","city":"NEW YORK","state":"NY","postal_code":"100284246","country_code":"US","phone":"5187012085","fax":"5187012020"}],"license":{"state":"NY","number":"019743-1"},"identifiers":[{"type_code":"01","label":"Other","value":"019743-1","state":"NY","issuer":"NYS LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160902001392","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"4385930197"}]},"enumeration_date":"2016-04-06","last_updated":"2024-10-03","_meta":{"source":"NPPES","snapshot_date":"2024-10-03","doc_url":"https://findmynpi.com/api"}}