JASON FANGUSARO MD
NPI 1508891268
Pediatrics - Pediatric Hematology-Oncology in Atlanta, GA

Q: What is Jason Fangusaro's NPI number?

The NPI number for Jason Fangusaro is 1508891268. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Jason Fangusaro's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Jason Fangusaro was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 11, 2006PECOS Enrolled

1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-1112(404) 785-6288 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

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About Jason Fangusaro Md NPPES

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

JASON FANGUSARO MD (NPI 1508891268) is an individual pediatric hematology-oncology provider in Atlanta, Georgia, licensed in Georgia (81195) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508891268

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameJASON FANGUSAROCredential: MD

Location Address1405 CLIFTON RD NEAtlanta, GA 30322-1060

Mailing Address1405 Clifton Rd NeAtlanta, GA 30322-1060 · (404) 785-1112 · Fax (404) 785-6288

Phone(404) 785-1112

Fax(404) 785-6288

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateJune 6, 20222 updates tracked since enumeration

✔ NPI 1508891268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in GA · 81195

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

1405 CLIFTON RD NE, Atlanta, GA 30322

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Fangusaro Md 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.

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.

CARRIE NG MD

Pediatrics (Pediatric Emergency Medicine)