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

Stephen J Jackowski, RPA

Individual provider Medical Physician Assistant · NPI 1215990536

Stephen J Jackowski, RPA is a Physician Assistant in Fayetteville, New York. Graduated from Albany Medical College of Union University in 1992, 34 years ago. Practices with Community Memorial Hospital, a 42-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2006

Practice location Address checks out

4103 Medical Center Dr
Fayetteville, NY 13066-6600
Phone: (315) 637-7800
Fax: (315) 637-7808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 004417 (NY)

Record details

NPI number1215990536
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA
Sole proprietorNo
NPI enumeratedApril 8, 2006
Last updated in NPPESNovember 15, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1992 (34 years in practice)
Group practice Community Memorial Hospital — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fayetteville