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

Jared Amir Mendoune

Individual provider Physician Assistant · NPI 1780330605

Jared Amir Mendoune is a Physician Assistant in Port Jefferson, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone: (631) 474-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1780330605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2022
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

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