Individual provider Active NPI

Frank Ian Jackson, DO

  • Obstetrics & Gynecology Physician
  • Brighton, MA
National Provider Identifier
1265994172
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1023915 Issued in MA
Practice address
736 Cambridge St
7TH, FL
Brighton, MA 02135-2907
Phone
(617) 562-7026
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1023915 MA Primary
Obstetrics & Gynecology Physician 207V00000X 323946 NY

Addresses

Primary practice location

736 Cambridge St
7TH, FL
Brighton, MA 02135-2907

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

886 Washington St
Suite 4
Norwood, MA 02062
Phone (781) 762-5542

Other practice location 2

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-2665

Other practice location 3

376 E Main St
Bay Shore, NY 11706-8441
Phone (631) 396-7000

Other practice location 4

736 Cambridge St
5th FL, Maternal Child Health Bldg
Brighton, MA 02135
Phone (617) 562-7007

Other practice location 5

850 Harrison Avenue, FL 4
Yawkey Bldg
Boston, MA 02118-4001
Phone (617) 414-2000

Other practice location 6

725 Albany St, FL 5
Shapiro Bldg
Boston, MA 02118-3549
Phone (617) 414-2000

Other practice location 7

226 Harvard St # 3
Allston, MA 02134
Phone (617) 751-5520

Other identifiers 1

IdentifierTypeStateIssuer
110223105AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315002380 NY Practitioner - Obstetrics/Gynecology 9436595170 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospital Dolan Family Health Center CurrentSince Sep 1, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 5, 2024 Accepting new patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Feb 5, 2024 Accepting new patients

Locations

376 E Main St
Bay Shore, NY 11706
Phone (631) 396-7000

376 E Main St
Ste 202
Bay Shore, NY 11706
Phone (631) 396-7000

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1265994172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "address_2": "7TH, FL",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-562-7026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 Washington St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "02062",
            "country_code": "US",
            "telephone_number": "781-762-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011794",
            "country_code": "US",
            "telephone_number": "508-427-2665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "376 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068441",
            "country_code": "US",
            "telephone_number": "631-396-7000",
            "fax_number": "860-714-8298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St",
            "address_2": "5th FL, Maternal Child Health Bldg",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-562-7007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Harrison Avenue, FL 4",
            "address_2": "Yawkey Bldg",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021184001",
            "country_code": "US",
            "telephone_number": "617-414-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Albany St, FL 5",
            "address_2": "Shapiro Bldg",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183549",
            "country_code": "US",
            "telephone_number": "617-414-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Harvard St # 3",
            "address_purpose": "LOCATION",
            "city": "Allston",
            "state": "MA",
            "postal_code": "02134",
            "country_code": "US",
            "telephone_number": "617-751-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FRANK",
        "middle_name": "IAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "1023915",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "323946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110223105A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.