MEDICARE: DR. JASON HALPER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	190269-1	NY
2	207V00000X	Obstetrics & Gynecology Physician	190269	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	190269-1	OTHER	NY	NY STATE LICENSE & REGIST

General Provider Information

NPI Number	:	1124119706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON HALPER M.D.

Provider Business Mailing Address
First Line	:	2401 AVENUE X FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2516
Country	:	US
Telephone Number	:	718-975-7041
Fax Number	:	347-374-6796

Provider Business Practice Location Address
First Line	:	2401 AVENUE X FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2516
Country	:	US
Telephone Number	:	718-975-7041
Fax Number	:	347-374-6796

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	08/15/2025

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Directions to “ DR. JASON HALPER M.D.” Practice Location

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