Active NPI
Maeve Riane Tobin, PA-C
- Physician Assistant
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01075
- Practice address
- 333 School St Ste 112a
Pawtucket, RI 02860-5336 - Phone
- (401) 728-6990
- NPI assigned
- Aug 12, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | PA01075 | RI | |
| Physician Assistant | 363A00000X | PA01075 | RI | Primary |
Addresses
Primary practice location
333 School St Ste 112a
Pawtucket, RI 02860-5336
Mailing address
140 Courtland St Apt 1R
Providence, RI 02909-1429
Phone (978) 994-7175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690
62 Brown St
Suite 304C
Haverhill, MA 01830-6790
Phone (978) 228-1900
Hospital & facility affiliations
- Anna Jaques Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.63 of 100
- Quality
- 84.27
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01075 | RI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Dermatology Associates, PC | Current | Accepting new patients | |
| Neda at North Shore PC | Dermatology | Current | Accepting new patients |
Locations
62 Brown St
Ste 304C
Haverhill, MA 01830
Phone (603) 552-3309
1 Wallace Bashaw Way
Ste 3001
Newburyport, MA 01950
Phone (978) 255-3376
538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201
302 Innovation Dr
Ste 400
Franklin, TN 37067
Interoperability endpoints
- maeve.tobin@pd.eclinicaldirectplus.com
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.
-
- Specialist
- North Andover, MA
- NPI 1104921162
-
- Dermatology Physician
- Pawtucket, RI
- NPI 1497780993
-
- Dermatology Physician
- Marblehead, MA
- NPI 1902345861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1689153454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 COURTLAND ST APT 1R",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029091429",
"telephone_number": "978-994-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SCHOOL ST STE 112A",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605336",
"telephone_number": "401-728-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "MAEVE",
"middle_name": "RIANE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-12",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "RI",
"license": "PA01075",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.