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

Jason Eduardo Fernandes

Individual provider Speech-Language Pathologist · NPI 1215637988

Jason Eduardo Fernandes is a Speech-Language Pathologist in East Setauket, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

196 N Belle Mead Rd Ste 3
East Setauket, NY 11733-3477
Phone: (631) 525-7514
Show map & directions

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

Additional practice locations (1)

  • 440 Waverly Ave Ste 12, Patchogue, NY 11772-7602 — (631) 730-8653

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 032596 (NY)

Record details

NPI number1215637988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

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