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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DAVID IRA JACKSON PA
NPI 1013950302
Physician Assistant in Patchogue, NY

Active since June 14, 2006
101 HOSPITAL ROAD, MEDICAL CENTER, PATCHOGUE, NY 11772(631) 687-2953(610) 617-6280 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Ira Jackson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID IRA JACKSON PA (NPI 1013950302) is an individual physician assistant in Patchogue, New York, licensed in New York (005486) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1013950302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID IRA JACKSONCredential: PA
Location Address101 HOSPITAL ROAD, MEDICAL CENTERPatchogue, NY 11772
Mailing AddressPo Box 13700-1378, Brookhaven Memorial Hospital ErPhiladelphia, PA 19191-1378 · (800) 666-2455 · Fax (610) 617-6280
Phone(631) 687-2953
Fax(610) 617-6280
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1013950302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 005486
Definition
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.
101 HOSPITAL ROAD, Patchogue, NY 11772
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAN ISAAC NEMETH DO
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Radiology (Diagnostic Radiology)
101 HOSPITAL ROAD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7728
CONRAD MILLER MD
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 654-7236
DIMPLE PUTHETHUKUDI GEORGE N P
Nurse Practitioner (Adult Health)
101 HOSPITAL ROAD, BROOK HAVEN HOSPITAL MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 654-7214
JASON ALLEN WINSLOW MD
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
LYNN CHRISTINE KRAMER PA
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
CARL S GOODMAN DO
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-7236
MICHAEL KIRK D.O.
Family Medicine
101 HOSPITAL ROAD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Jackson's NPI number?

The NPI number for David Jackson is 1013950302. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is David Jackson located?

David Jackson practices at 101 Hospital Road Medical Center, Patchogue, NY 11772. The listed phone number is (631) 687-2953.

What is David Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for David Jackson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.