Jacqueline Rose Thaw
NPI 1063396661ActiveIndividual· Physician Assistant· West Islip, NY
Physician Assistant with St. Joseph Hospital and 1 other group, practicing in West Islip, New York. Enrolled in Medicare as practitioner - physician assistant. Lists Chsli St Joseph Hospital as a hospital affiliation.
Overview
| NPI | 1063396661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 5, 2025 |
| Last updated in NPPES | Aug 5, 2025 |
| Certified by provider | Aug 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 034153 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- St. Joseph HospitalBethpage, NY · 99 clinicians
- Progressive Emergency Physicians PLLCRockville Center, NY · 31 clinicians
Hospital affiliation
- Chsli St Joseph HospitalBethpage, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 116 physician assistants in West Islip · All physician assistants in New York