Jason Halegoua, PHD, MD, MBA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

231789 Issued in NY

Practice address

207 Hallock Rd Ste 106
Stony Brook, NY 11790-3075

Phone

(631) 675-9777

Fax

(631) 675-9778

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drjason@pedsfirst.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason Halegoua, M.D., P.C.

  • Pediatrics Physician
  • Stony Brook, NY
  • NPI 1750619581
  NPD Authorized official
• Allied Physicians Group, PLLC

  • Pediatrics Physician
  • Melville, NY
  • NPI 1396944799
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1013023555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LILY DR",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117202001",
            "telephone_number": "516-650-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD STE 106",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903075",
            "telephone_number": "631-675-9777",
            "fax_number": "631-675-9778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 Route 112",
            "address_2": "Suite 11",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NY",
            "postal_code": "117632535",
            "country_code": "US",
            "telephone_number": "631-732-5222",
            "fax_number": "631-732-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEGOUA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PHD, MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "231789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Haegele
• Mary Hahn, MD
• Ayman Haider, MD
• Joan Hainsley-Jones, RN
• Hazim Hakmi
• Noy Rebecca Halevy-Mizrahi, M.D.
• Lynn Hallarman, M.D.
• Marc Whitney Halterman, MD, PHD
• Nimra Hameed, MD
• Wajahat Hameed

• Pediatrics Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.