David Ira Jackson, PA

Physician Assistant · Patchogue, NY

Individual Active NPI

NPI number 1013950302

Practice location

101 Hospital Road
Medical Center
Patchogue, NY 11772
Phone
(631) 687-2953
Fax
(610) 617-6280

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NPI record

NPI
1013950302
Entity type
Individual (Type 1)
Enumeration date
June 14, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 005486 NY

Mailing address

PO Box 13700-1378
Brookhaven Memorial Hospital ER
Philadelphia, PA 19191-1378
Phone
(800) 666-2455
Fax
(610) 617-6280

About David Jackson

David Ira Jackson, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 101 Hospital Road, Medical Center, Patchogue, NY 11772. The NPI number 1013950302 was assigned on June 14, 2006 and the record was last updated on July 13, 2026.

David Jackson lists a license in the registry: #005486 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Ira Jackson, PA?

The NPI number is 1013950302.

What is the phone number of David Jackson?

The phone number listed for the practice location is (631) 687-2953.

Where is David Jackson located?

101 Hospital Road, Medical Center, Patchogue, NY 11772.

What is the taxonomy code for David Jackson?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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