JACQUELINE ROSE THAW
NPI 1063396661
Physician Assistant in West Islip, NY

Active since August 05, 2025PECOS EnrolledAccepts Medicare Assignment
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3000 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Rose Thaw NPPES

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

JACQUELINE ROSE THAW (NPI 1063396661) is an individual physician assistant in West Islip, New York, licensed in New York (034153) and active in the NPI registry since August 2025. The provider is enrolled in Medicare PECOS, is affiliated with Chsli St Joseph Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063396661
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE ROSE THAW
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · (631) 376-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
NPI 1063396661 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 · 034153
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.

1000 MONTAUK HWY, West Islip, NY 11795

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Rose Thaw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698271005
PECOS Enrollment IDI20251003003068
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Emergency Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Anesthesiology
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Physician Assistant
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Registered Nurse
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795

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 Jacqueline Thaw's NPI number?

The NPI number for Jacqueline Thaw is 1063396661. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Jacqueline Thaw located?

Jacqueline Thaw practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Jacqueline Thaw's specialty?

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

Is Jacqueline Thaw enrolled in Medicare?

Yes. Jacqueline Thaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacqueline Thaw affiliated with any hospitals?

According to CMS data, Jacqueline Thaw is affiliated with Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Thaw was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.