Active NPI
Frank Ian Jackson, DO
- Obstetrics & Gynecology Physician
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 1023915
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110223105A | Medicaid | MA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Hospital Dolan Family Health Center | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Obstetrics & Gynecology | Current | 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.
-
- Health Service Clinic/Center
- Greenlawn, NY
- NPI 1578593588
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.