David Ira Jackson, PA
David Ira Jackson is a Physician Assistant provider (Physician Assistant) practicing in Patchogue, NY, registered in the NPPES registry with NPI 1013950302 since 2006. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013950302 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | David Ira Jackson |
| Credential | PA |
| Sex | Male |
| Practice address | 101 HOSPITAL ROAD, MEDICAL CENTER, Patchogue, NY, 11772 |
| Phone | 6316872953 |
| Fax | 6106176280 |
| Enumeration date | 2006-06-14 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | 005486 | NY |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Copy-ready billing details
Provider: David Jackson, PA NPI: 1013950302 Taxonomy: 363A00000X (Physician Assistant) Address: 101 HOSPITAL ROAD, MEDICAL CENTER, Patchogue, NY, 11772
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639121825 | Brookhaven Memorial Hospital Medical Center, Inc. | Organization | Emergency Medicine Physician | Patchogue, NY |
| 1841242922 | Joshua Ardise | Individual | Emergency Medicine Physician | Patchogue, NY |
| 1205889847 | Carl Goodman | Individual | Emergency Medicine Physician | Patchogue, NY |
| 1659324747 | Ann Landsman | Individual | Physician Assistant | Patchogue, NY |
| 1528009206 | Dashurije Rupolo | Individual | Physician Assistant | Patchogue, NY |
| 1306889043 | Natalie Digioia | Individual | Emergency Medicine Physician | Patchogue, NY |
| 1588607956 | Jennifer Fincke | Individual | Physician Assistant | Patchogue, NY |
| 1396788766 | Stacey Dimitriou-Ciaccio | Individual | Physician Assistant | Patchogue, NY |
Verify this record
Cross-check NPI 1013950302 against the authoritative CMS record: view David Ira Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.