David Jackson, PA

ActiveIndividual ProviderPhysician Assistant
NPI issued: June 14, 2006

Quick Facts

NPI Number
1013950302
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(631) 687-2953
StateNY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1013950302)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 14, 2006)
Data source: CMS NPPES

Provider Overview

DAVID JACKSON, PA is a Physician Assistant provider based in Patchogue, NY who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1013950302
Provider TypeIndividual Provider
GenderMale
CredentialPA
StatusActive
Enumeration DateJune 14, 2006

Practice Location

CityPatchogue
StateNY
ZIP Code11772
Phone(631) 687-2953

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateNY

Mailing Address

CityPatchogue
StateNY
ZIP Code11772
Phone(631) 687-2953
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1013950302 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1013950302for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1013950302 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

Browse all Physician Assistantproviders →
📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is David Jackson's NPI number?
David Jackson's NPI number is 1013950302, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is David Jackson's NPI currently active?
Yes, David Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does David Jackson specialize in?
David Jackson specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does David Jackson practice?
David Jackson practices in Patchogue, NY 11772.
When was David Jackson's NPI issued?
David Jackson's NPI was issued on June 14, 2006.
What is David Jackson's provider type?
David Jackson is registered as an Individual Provider under CMS NPI Type 1.