Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720760218 Individual Practitioner Male Practitioner

Jacob Tyler Deubler , PA-C

Surgery - Trauma Surgery • Patchogue, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Deubler, PA-C is a certified Surgery - Trauma Surgery practicing in Patchogue, NY. With approximately 3 years of clinical experience since completing medical education in 2023, Jacob Deubler delivers high-quality medical care to the local community at 101 HOSPITAL RD.

Jacob Deubler is affiliated with New York University and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

101 Hospital Rd

Patchogue, NY 117724870

Telephone 5402876371
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Trauma Surgery in Patchogue, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs Matches City Avg
City Avg: 3.0 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Patchogue, NY (75 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deubler (3 Years) 3 Yrs
Patchogue Specialty Average (3.0 Years) 3.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-02-15
Surgery - Trauma Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0127X

State License NY 031046

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Hospital & Practice Group Affiliations

New York University

150 55th St, Brooklyn, NY 112202508

Phone: 7186307000

New York University

111 Broadway, New York, NY 100061901

Phone: 2122639700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Vaishali Mehta , MD

Internal Medicine - Critical Care Medicine

NPI 1013477132

Doctor of Medicine (M.D.)

Courtney Bofinger , PA

Physician Assistant

NPI 1013496579

Physician Assistant

Dr. Taha Siddiqui , MD

Internal Medicine

NPI 1013610849

Doctor of Medicine (M.D.)

Annette Pope-Morris , PA

Physician Assistant - Medical

NPI 1023070216

Physician Assistant

Carlos Kim

Student in an Organized Health Care Education/Training Program

NPI 1023469236
Meaghan Chou , PA-C

Physician Assistant

NPI 1033096565

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address February 15, 2024

Registered at 14 WALL ST FL 9, NEW YORK, NY 100052178

📍
Updated Practice Location December 27, 2023

Registered at 101 HOSPITAL RD, PATCHOGUE, NY 117724870 (Tel: 5402876371)

📍
Updated Business Mailing Address December 27, 2023

Registered at 101 HOSPITAL RD, PATCHOGUE, NY 117724870

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2023

Surgery (License #031046 in NY)

👤
Provider Name / Credentials Updated September 06, 2023

Recorded as JACOB DEUBLER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2023

Physician Assistant

NPI Profile Active August 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2023

Registered at 6812 VIOLET DR, FREDERICKSBURG, VA 224076291 (Tel: 5402876371)

📍
Updated Business Mailing Address August 03, 2023

Registered at 6812 VIOLET DR, FREDERICKSBURG, VA 224076291 (Tel: 5402876371)

👤
Provider Name / Credentials Updated August 03, 2023

Recorded as JACOB DEUBLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720760218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2023
Last Update: February 15, 2024
Sole Proprietor: Yes

Mailing Address

14 Wall St Fl 9

New York, NY 100052178

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.