EAST BAY NEUROLOGY PROFESSIONAL CORPORATION
EAST BAY NEUROLOGY PROFESSIONAL CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1275668006, based in Pawtucket, RI. The organization lists 2 taxonomy classifications, with Neurology Physician recorded as primary.
Getting there
The practice address on file is 333 SCHOOL ST STE 216, Pawtucket, RI 02860. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PS00999 | RI | Clinical Neuropsychologist |
| 212368 | MA | Neurology Physician |
| MD 09501 | RI | Neurology Physician primary |
Licences are recorded in 2 states: RI, MA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3678671492
- Enrollment ID
- O20100520000613
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Massachusetts and Rhode Island. The practice address on file is in Pawtucket, RI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- PS00999
- Specialty
- Clinical Neuropsychologist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Neurology covers
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NUCC Health Care Provider Taxonomy, code 2084N0400X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PS00999 | RI | |
| 2084N0400X | Neurology Physician Neurology | 212368 | MA | |
| 2084N0400X | Neurology Physician Neurology | MD 09501 | RI | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1275668006 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 22, 2007 |
| Last updated | Jun 20, 2018 |
| Status | Active |
| Practice address |
333 SCHOOL ST STE 216 Pawtucket, RI 02860 (401) 722-7300 Fax (401) 722-7390 |
| Other identifiers |
7006029
· Medicaid (RI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 7 | 5 | 6 | 6 | 8 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 5 | 5 | 3 | 6 | 7 | 0 | 0 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.