JASON HALEGOUA PHD, MD, MBA – NPI #1013023555
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JASON HALEGOUA is a physician located in STONY BROOK, NY. NPPES has assigned the NPI number 1013023555 to JASON HALEGOUA on August 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 2 years ago on Mar 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JASON HALEGOUA below.

NPI Profile for
JASON HALEGOUA

NPI Number
1013023555
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JASON HALEGOUA
Credentials
PHD, MD, MBA
Primary location
207 HALLOCK RD STE 106
STONY BROOK, NY 11790-3075
Phone: (631) 675-9777 Fax: (631) 675-9778
1 Other location(s):
2799 Route 112
Suite 11
Medford, NY 11763-2535
Phone: (631) 732-5222
Fax: (631) 732-6222
Mailing address
11 LILY DR
SOUTH SETAUKET, NY 11720-2001
Phone: (516) 650-3636 Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NY 231789

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.