JARED MOGUL PA-C
NPI 1407733520
Physician Assistant in Stony Brook, NY

Active since August 20, 2025PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-2252 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared Mogul Pa-c NPPES

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

JARED MOGUL PA-C (NPI 1407733520) is an individual physician assistant in Stony Brook, New York and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407733520
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJARED MOGULCredential: PA-C
Location Address101 NICOLLS RDStony Brook, NY 11794-8200
Mailing Address101 Nicolls RdStony Brook, NY 11794-8200
Sole ProprietorNo
Enumeration DateAugust 20, 2025
Last NPPES UpdateOctober 12, 2025
NPPES CertifiedOctober 12, 2025
NPI 1407733520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 NICOLLS RD, Stony Brook, NY 11794

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jared Mogul Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Jared Mogul's NPI number?

The NPI number for Jared Mogul is 1407733520. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Jared Mogul located?

Jared Mogul practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-2252.

What is Jared Mogul's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jared Mogul enrolled in Medicare?

Yes. Jared Mogul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Mogul was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.