Individual provider Active NPI

Teja Jabouin, RN

  • Registered Nurse
  • Hauppauge, NY
National Provider Identifier
1093634289
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
847206 Issued in NY
Practice address
700 Veterans Memorial Hwy Ste 200
Hauppauge, NY 11788-2929
Phone
(516) 817-5568
NPI assigned
Jul 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 847206 NY Primary

Addresses

Primary practice location

700 Veterans Memorial Hwy Ste 200
Hauppauge, NY 11788-2929

Mailing address

130 Avery Ave
Patchogue, NY 11772-2938
Phone (516) 817-5568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093634289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVERY AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722938",
            "telephone_number": "516-817-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VETERANS MEMORIAL HWY STE 200",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882929",
            "telephone_number": "516-817-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABOUIN",
        "first_name": "TEJA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "847206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.