Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark J Jagust, MD

Individual provider Family Medicine Physician · NPI 1467493494

Dr. Mark J Jagust, MD is a Family Practice in Lake Grove, New York. Qualified in 1986, 40 years ago. Practices with North Shore Hematology Oncology Associates PC, a 473-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
40
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2835 Middle Country Rd
Lake Grove, NY 11755-2105
Phone: (631) 467-3564
Fax: (631) 471-2236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 178630 (NY)

Record details

NPI number1467493494
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2006
Last updated in NPPESAugust 10, 2010
Mailing address2835 Middle Country Rd, Lake Grove, NY 11755-2105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice North Shore Hematology Oncology Associates Pc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lake Grove