Individual provider · Type 1 NPI

Kathleen Tewey Mahoney, CPNP-PC

Pediatric Nurse Practitioner · Raritan, NJ

NPI number 1497276828 Active

Practice location

575 Route 28 Ste 2100
Raritan, NJ 08869-1363

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XR201092 (MD)
Pediatric Nurse Practitioner Primary 363LP0200X26NJ15381100 (NJ)

Pediatric Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1497276828

Kathleen Tewey Mahoney, CPNP-PC's National Provider Identifier is 1497276828, issued on Jul 7, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Raritan, NJ. The record was last updated on Sep 16, 2025.