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EAST BAY COMMUNITY ACTION PROGRAM
NPI 1609925122
Clinic/Center - Community Health in Riverside, RI

Active since January 10, 2007
100 BULLOCKS POINT AVE, RIVERSIDE, RI 02915(401) 437-1008(401) 433-3042 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About East Bay Community Action Program NPPES

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

EAST BAY COMMUNITY ACTION PROGRAM (NPI 1609925122) is a healthcare organization registered as a community health in Riverside, Rhode Island and active in the NPI registry since January 2007. The organization lists Rilwan Feyisitan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609925122
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameEAST BAY COMMUNITY ACTION PROGRAM
Location Address100 BULLOCKS POINT AVERiverside, RI 02915-5351
Mailing Address100 Bullocks Point AveRiverside, RI 02915-5351 · (401) 437-1008 · Fax (401) 433-3042
Phone(401) 437-1008
Fax(401) 433-3042
Organization SubpartNo
Authorized OfficialRilwan FeyisitanCeo · (401) 437-1000
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1609925122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
100 BULLOCKS POINT AVE, Riverside, RI 02915
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Bay Community Action Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to East Bay Community Action Program, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Clinical Social Worker11
Nurse Practitioner9
Family Practice4
Mental Health Counselor4
Certified Clinical Nurse Specialist (CNS)2
Psychiatry2
Internal Medicine1
Optometry1
1 other specialty1

Nearest to this location (20)

See all 35
Rachel Dirosario, APRN
Nurse Practitioner
NPI 1598306383
100 BULLOCKS POINT AVE
Riverside, RI 02915
(401) 437-1008
✔ PECOS✔ Accepts MedicareSame address
Sarah Fessler, MD
Family Practice
NPI 1972651529
100 BULLOCKS POINT AVE
Riverside, RI 02915
(401) 437-1008
✔ PECOS✔ Accepts MedicareSame address
Teresita Hamilton, MD
Family Practice
NPI 1245389576
100 BULLOCKS POINT AVE
Riverside, RI 02915
(401) 437-1008
✔ PECOS✔ Accepts MedicareSame address
Andrea Rand, LICSW
Clinical Social Worker
NPI 1568897544
100 BULLOCKS POINT AVE
Riverside, RI 02915
(401) 437-1008
✔ PECOS✔ Accepts MedicareSame address
Joseph Singer, MD
Pediatric Medicine
NPI 1346293016
100 BULLOCKS POINT AVE
Riverside, RI 02915
(401) 437-1008
✔ PECOS✔ Accepts MedicareSame address
Mark Zeller, DO
Internal Medicine
NPI 1396925186
10 TRIPPS LN
Riverside, RI 02915
(401) 654-4098
✔ PECOS✔ Accepts Medicare1.4 mi
Diane Fletcher, RN, NP
Certified Clinical Nurse Specialist (CNS)
NPI 1841355567
610 WAMPANOAG TRL
Riverside, RI 02915
(401) 431-9870
✔ PECOS✔ Accepts Medicare1.8 mi
Marshall Wold, MD
Psychiatry
NPI 1396728200
610 WAMPANOAG TRL
Riverside, RI 02915
(401) 431-9870
✔ PECOS✔ Accepts Medicare1.8 mi
Rose Goulet, LICSW
Clinical Social Worker
NPI 1356326854
610 WAMPANOAG TRL
East Providence, RI 02915
(401) 431-9870
✔ PECOS✔ Accepts Medicare1.8 mi
Edward Rush, LICSW
Clinical Social Worker
NPI 1699911750
610 WAMPANOAG TRL
Riverside, RI 02915
(401) 274-2500
✔ PECOS✔ Accepts Medicare1.8 mi
Leanne Craven, LICSW, LCDP
Clinical Social Worker
NPI 1376051144
2 OLD COUNTY RD
Barrington, RI 02806
(401) 246-1195
✔ PECOS✔ Accepts Medicare2.2 mi
Ashley Debont, LICSW
Clinical Social Worker
NPI 1528594322
2 OLD COUNTY RD
Barrington, RI 02806
(401) 246-1195
✔ PECOS✔ Accepts Medicare2.3 mi
Alexandra Fratus, LMHC
Mental Health Counselor
NPI 1992482285
2 OLD COUNTY RD
Barrington, RI 02806
(401) 246-1195
✔ PECOS✔ Accepts Medicare2.3 mi
Kristen Hylan, FNP
Nurse Practitioner
NPI 1164767604
610 WATERMAN AVE
East Providence, RI 02914
(401) 437-1008
✔ PECOS✔ Accepts Medicare3.0 mi
John Corvese, O.D.
Optometry
NPI 1073613741
868 RESERVOIR AVE
Cranston, RI 02910
(401) 942-9933
✔ PECOS✔ Accepts Medicare4.3 mi
Lisa Denny, M.D.
Family Practice
NPI 1013034016
6 VINCENT PAUL DR
Barrington, RI 02806
(401) 289-2187
✔ PECOS✔ Accepts Medicare4.6 mi
Bianca Barros, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1386328631
6 BLACKSTONE VALLEY PL STE 201
Lincoln, RI 02865
(401) 638-6374
✔ PECOS✔ Accepts Medicare4.7 mi
Courtney Jusino, DNP
Nurse Practitioner
NPI 1235606526
1 RANDALL SQ
Providence, RI 02904
(401) 274-6339
✔ PECOS✔ Accepts Medicare4.9 mi
Jennifer Raney, MD
Family Practice
NPI 1225084064
1 RANDALL SQ
Providence, RI 02904
(401) 274-6339
✔ PECOS✔ Accepts Medicare4.9 mi
Hannah Sanchez, NP
Nurse Practitioner
NPI 1346848082
1 RANDALL SQ
Providence, RI 02904
(401) 274-6339
✔ PECOS✔ Accepts Medicare4.9 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Action Program's NPI number?

The NPI number for East Bay Community Action Program is 1609925122. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is East Bay Community Action Program located?

East Bay Community Action Program is located at 100 Bullocks Point Ave, Riverside, RI 02915. The listed phone number is (401) 437-1008.

What is East Bay Community Action Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is East Bay Community Action Program enrolled in Medicare?

Yes. East Bay Community Action Program is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Bay Community Action Program?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 9 Medicare specialties reassign their Medicare billing to East Bay Community Action Program. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (11), Nurse Practitioner (9) and Family Practice (4). Of these, 5 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Bay Community Action Program was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.