Jacqueline Thaw
NPI 1063396661 · Physician Assistant · West Islip, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Thaw is a Physician Assistant provider in West Islip, NY (NPI 1063396661).
Provider details
- NPI number
- 1063396661
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sole proprietor
- Yes
- License
- 034153 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-05
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Jacqueline Thaw's NPI number?
- Jacqueline Thaw's National Provider Identifier (NPI) is 1063396661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Thaw's specialty?
- Jacqueline Thaw is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Thaw located?
- Jacqueline Thaw's practice location on file with NPPES is 1000 Montauk Hwy, West Islip, NY 11795-4927.
- What is Jacqueline Thaw's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Thaw is (631) 376-3000.
- Does Jacqueline Thaw accept Medicare?
- Jacqueline Thaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Thaw's NPI active?
- Yes — Jacqueline Thaw's NPI (1063396661) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.