DR. JASON HALEGOUA PHD, MD, MBA
NPI 1013023555
Pediatrics in Stony Brook, NY

Q: What is Jason Halegoua's NPI number?

The NPI number for Jason Halegoua is 1013023555. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Jason Halegoua's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Halegoua was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 21, 2006CLIA 33D2301225 · Waiver

207 HALLOCK RD STE 106, STONY BROOK, NY 11790(631) 675-9777(631) 675-9778 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jason Halegoua Phd, Md, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON HALEGOUA PHD, MD, MBA (NPI 1013023555) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (231789) and active in the NPI registry since August 2006. He holds a CLIA Waiver certificate valid through March 21, 2028 and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1013023555

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JASON HALEGOUACredential: PHD, MD, MBA

Location Address207 HALLOCK RD STE 106Stony Brook, NY 11790-3075

Mailing Address11 Lily DrSouth Setauket, NY 11720-2001 · (516) 650-3636

Phone(631) 675-9777

Fax(631) 675-9778

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateMarch 12, 2024

NPPES CertifiedMarch 12, 2024

✔ NPI 1013023555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 231789

Definition

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.

207 HALLOCK RD STE 106, Stony Brook, NY 11790

Open in Google Maps ↗

Secondary Practice Location 1

Location 12799 Route 112, Suite 11Medford, NY 11763-2535 · Phone (631) 732-5222 · Fax (631) 732-6222

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2301225

Jason Halegoua Dba North Shore Pediatrics · Stony Brook, NY

Active · expires Mar 21, 2028

CLIA Number33D2301225

Laboratory TypePhysician Office

Certificate Effective DateMarch 22, 2026

Certificate Expiration DateMarch 21, 2028

Laboratory DirectorDr. Jason Halegoua

Laboratory Phone(631) 675-9777

Laboratory LocationJason Halegoua Dba North Shore Pediatrics207 Hallock Road, Suite 106, Stony Brook, NY 11790

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON HALEGOUA, M.D., P.C.

Pediatrics

207 HALLOCK RD STE 106
STONY BROOK, NY 11790

Suffolk County (631) 675-9777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Halegoua's NPI number?

The NPI number for Jason Halegoua is 1013023555. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Jason Halegoua located?

Jason Halegoua practices at 207 Hallock Rd Ste 106, Stony Brook, NY 11790. The listed phone number is (631) 675-9777.

What is Jason Halegoua's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Jason Halegoua hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2301225) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jason Halegoua was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.