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

Miss. Jacquelyn Longacre, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1730749359

Miss. Jacquelyn Longacre, PHYSICIANASSISTANT is a Physician Assistant in Stony Brook, New York. Graduated from George Washington University School of Medicine in 2019, 7 years ago. Practices with Stony Brook Surgical Associates University Faculty Practice Corporati, a 102-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Trained at
George Washington University School of Medicine
Licensed in
NY
In the registry since
2019
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Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook Cancer Center -Breast Care Ctr Lauterbur Dr
Stony Brook, NY 11794-8191
Phone: (631) 444-1795
Fax: (631) 444-6348
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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 027593 (NY)

Record details

NPI number1730749359
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJune 17, 2019
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Stony Brook Surgical Associates University Faculty Practice Corporati — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook