Individual provider · Type 1 NPI

Jacob Martin Beane, PA-C

Physician Assistant · Cranston, RI

NPI number 1063100873 Active

Practice location

712 Oaklawn Ave
Cranston, RI 02920-2858

Mailing address

455 Toll Gate Road, Prc And Credentialing
Warwick, RI 02886-2759

Other practice locations

  • 215 Toll Gate Rd Ste 104, Warwick, RI 02886-4463 · (401) 921-7290

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01574 (RI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

3 other providers at this address

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About NPI 1063100873

Jacob Martin Beane, PA-C's National Provider Identifier is 1063100873, issued on Apr 28, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cranston, RI. The record was last updated on Apr 20, 2026.