Active NPI
Jackson Dean-Brown, PA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA66876
- Practice address
- 1300 York Ave
New York, NY 10065-4805 - Phone
- (212) 746-5454
- NPI assigned
- Jun 11, 2024
- Last updated
- Jan 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA66876 | CA | Primary |
Addresses
Primary practice location
1300 York Ave
New York, NY 10065-4805
Mailing address
570 Lexington Ave FL 9
New York, NY 10022-6710
Phone (646) 962-7277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2100 Powell St
Emeryville, CA 94608-1826
2100 Powell St
Suite 400
Emeryville, CA 94608-1872
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032703 | NY | MD | Massage Therapist |
| PA66876 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Weill Cornell University Medical College | Past | Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
1300 York Ave
New York, NY 10065
Phone (212) 746-2900
170 William St
New York, NY 10038
Phone (212) 238-0100
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cornell University Medical College ECG
- Cardiovascular Disease Physician
- New York, NY
- NPI 1245355270
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
dba Cornell Emer.Dept.Phsyicians
- Emergency Medicine Physician
- New York, NY
- NPI 1205882586
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Women's Hospital
- New York, NY
- NPI 1538141536
-
- Medical Toxicology (Emergency Medicine) Physician
- New York, NY
- NPI 1710491568
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1144062076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 LEXINGTON AVE FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100226710",
"telephone_number": "646-962-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654805",
"telephone_number": "212-746-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN-BROWN",
"first_name": "JACKSON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-11",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA66876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.