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

David Ira Jackson, PA

Individual provider Physician Assistant · NPI 1013950302

David Ira Jackson, PA is a Physician Assistant in Patchogue, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

101 Hospital Road Medical Ctr
Patchogue, NY 11772
Phone: (631) 687-2953
Fax: (610) 617-6280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005486 (NY)

Record details

NPI number1013950302
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 13700-1378, Brookhaven Memorial Hospital Er, Philadelphia, PA 19191-1378

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