JACOB TYLER DEUBLER PA-C
NPI 1720760218
Surgery - Trauma Surgery in Patchogue, NY

Active since August 03, 2023PECOS EnrolledAccepts Medicare Assignment
101 HOSPITAL RD, PATCHOGUE, NY 11772(540) 287-6371 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Tyler Deubler Pa-c NPPES

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

JACOB TYLER DEUBLER PA-C (NPI 1720760218) is an individual trauma surgery provider in Patchogue, New York, licensed in New York (031046) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720760218
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameJACOB TYLER DEUBLERCredential: PA-C
Location Address101 HOSPITAL RDPatchogue, NY 11772-4870
Mailing Address14 Wall St Fl 9New York, NY 10005-2178
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 3, 2023
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
NPI 1720760218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in NY · 031046
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
101 HOSPITAL RD, Patchogue, NY 11772

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jacob Tyler Deubler Pa-c 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 ID9537504527
PECOS Enrollment IDI20240229001970
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.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

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.

Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772

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 Jacob Deubler's NPI number?

The NPI number for Jacob Deubler is 1720760218. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Jacob Deubler located?

Jacob Deubler practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (540) 287-6371.

What is Jacob Deubler's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Jacob Deubler enrolled in Medicare?

Yes. Jacob Deubler 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 Jacob Deubler affiliated with any hospitals?

According to CMS data, Jacob Deubler is affiliated with Long Island Community Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Deubler was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.