Jason Eduardo Fernandes

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

032596 Issued in NY

Practice address

196 N Belle Mead Rd Ste 3
East Setauket, NY 11733-3477

Phone

(631) 525-7514

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By the provider in NPPES

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)

Not enrolled

Practice roles

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

• Sensory Solutions of Long Island, Inc

  • Speech-Language Pathologist
  • Port Jefferson Station, NY
  • NPI 1700340973
  NPD (past)
• South Shore Speech Pathology

  • Speech-Language Pathologist
  • Patchogue, NY
  • NPI 1952000887
  NPD (past)

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1215637988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 N BELLE MEAD RD STE 3",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333477",
            "telephone_number": "631-525-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 N BELLE MEAD RD STE 3",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333477",
            "telephone_number": "631-525-7514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Waverly Ave Ste 12",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117727602",
            "country_code": "US",
            "telephone_number": "631-730-8653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "JASON",
        "middle_name": "EDUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Feldman, R.D.,C.D.N.,C.D.E
• Deborah Feliciano, NP
• Megan Fendt, CNM RD CDCES
• Ziji Feng
• Melissa Margaret Feraca, FNP,BC
• Denise M. Ferraro, F.N.P.
• Dora Lia Ferreira Macedo
• Jason Ferro
• Suzanne Fields, M.D.
• Barbara Figuereo

• Speech-Language Pathologist in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.