Jacqueline Rose Thaw
Jacqueline Rose Thaw is a Physician Assistant in West Islip, New York. Qualified in 2025, 1 year ago. Practices with St Joseph Hospital, a 99-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
1000 Montauk HwyWest Islip, NY 11795-4927
Phone: (631) 376-3000
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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 034153 (NY) |
|---|
Record details
| NPI number | 1063396661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | August 5, 2025 |
| Last updated in NPPES | August 5, 2025 |
| Certification date | August 5, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | St. Joseph Hospital — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in West Islip
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Kristie Summus, PA-C
1000 Montauk Hwy, West Islip, NY 11795-4927 · (516) 312-9942
-
Carolann Sutherland, PA-C
380 Montauk Hwy, West Islip, NY 11795-4403 · (631) 422-5371
-
Tyler Francis Sutton
1000 Montauk Hwy, West Islip, NY 11795-4927 · (631) 376-3000
-
Joanna Frances Tanzman
1111 Montauk Hwy, West Islip, NY 11795-4910 · (631) 669-1171
-
Magdalena Tibett
1111 Montauk Hwy Ste 3-1, West Islip, NY 11795-4910 · (631) 669-1171
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Mrs. Rosemary A. Verow-Freitag, RPA-C
556 Montauk Hwy, West Islip, NY 11795-4407 · (631) 321-4811
-
Charles Vollmoeller, PA
1111 Montauk Hwy Ste 3, West Islip, NY 11795-4910 · (631) 669-1171
-
Erik Walter, PA-C
434 Union Blvd, West Islip, NY 11795 · (631) 238-3067