EAST BAY NEUROLOGY PROFESSIONAL CORPORATION
NPI 1275668006
Psychiatry & Neurology - Neurology in Pawtucket, RI

Q: What is East Bay Neurology Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since February 22, 2007

333 SCHOOL ST STE 216, PAWTUCKET, RI 02860(401) 722-7300(401) 722-7390 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2018, Dec 15, 2017 (2 updates tracked since 2017).

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About East Bay Neurology Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST BAY NEUROLOGY PROFESSIONAL CORPORATION (NPI 1275668006) is a healthcare organization registered as a neurology in Pawtucket, Rhode Island and active in the NPI registry since February 2007. The organization lists Motasem A Al Yacoub, President, as its authorized official.

NPPES Registry Identity

NPI1275668006

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameEAST BAY NEUROLOGY PROFESSIONAL CORPORATION

Location Address333 SCHOOL ST STE 216Pawtucket, RI 02860

Mailing Address333 School St Ste 216Pawtucket, RI 02860-5336 · (401) 722-7300 · Fax (401) 722-7390

Phone(401) 722-7300

Fax(401) 722-7390

Organization SubpartNo

Authorized OfficialMotasem A Al YacoubPresident · (401) 724-4100

Enumeration DateFebruary 22, 2007

Last NPPES UpdateJune 20, 20182 updates tracked since enumeration

✔ NPI 1275668006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in RI · MD 09501✔ Licensed in MA · 212368

Definition

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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PS00999 (RI)

333 SCHOOL ST STE 216, Pawtucket, RI 02860

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Other Identifiers 1

Medicaid7006029RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Bay Neurology Professional Corporation's NPI number?

The NPI number for East Bay Neurology Professional Corporation is 1275668006. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is East Bay Neurology Professional Corporation located?

East Bay Neurology Professional Corporation is located at 333 School St Ste 216, Pawtucket, RI 02860. The listed phone number is (401) 722-7300.

What is East Bay Neurology Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for East Bay Neurology Professional Corporation was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.