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Active NPI 1407733520 Individual Practitioner Male Practitioner

Jared Mogul , PA-C

Physician Assistant • Stony Brook, NY

Professional Overview & Biography Verified Profile Summary

Jared Mogul, PA-C is a registered healthcare professional specializing in Physician Assistant in Stony Brook, NY. Practice services are available at 101 NICOLLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Nicolls Rd

Stony Brook, NY 117948200

Telephone 6314442252
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Stony Brook, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
128 Specialists

Practicing in Stony Brook, NY (15701 Statewide)

Telehealth Adoption Rate
10.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Samantha Rutkowsky

Specialist/Technologist - Athletic Trainer

NPI 1336964840
Cedric Myrthil

Specialist/Technologist - Athletic Trainer

NPI 1932731676

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 12, 2025

Registered at 101 NICOLLS RD, STONY BROOK, NY 117948200 (Tel: 6314442252)

📍
Updated Business Mailing Address October 12, 2025

Registered at 101 NICOLLS RD, STONY BROOK, NY 117948200

NPI Profile Active August 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2025

Registered at 462 1ST AVE RM 7S4, NEW YORK, NY 100169196 (Tel: 2122636413)

📍
Updated Business Mailing Address August 20, 2025

Registered at 462 1ST AVE RM 7S4, NEW YORK, NY 100169196 (Tel: 2122636413)

👤
Provider Name / Credentials Updated August 20, 2025

Recorded as JARED MOGUL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 20, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407733520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2025
Last Update: October 12, 2025
Sole Proprietor: No

Mailing Address

101 Nicolls Rd

Stony Brook, NY 117948200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.