Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allison Olivia Jaekle

Individual provider Dermatology Physician · NPI 1093304594

Allison Olivia Jaekle is a Physician Assistant in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Ronald R Brancaccio MD and Peter Saitta DO PC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

7901 4th Ave Ste A20
Brooklyn, NY 11209-3957
Phone: (718) 491-5800
Fax: (718) 748-2151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 524 Montauk Hwy Ste 101, Amagansett, NY 11930-2110 — (631) 557-3043

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026397-01 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 00000000000 (NY)

Record details

NPI number1093304594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2021
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ronald R Brancaccio Md And Peter Saitta Do Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brooklyn