Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Mooney

Individual provider Emergency Medicine Physician · NPI 1306411889

Jacob Mooney is an Emergency Medicine in Providence, Rhode Island. Graduated from Stanford University School of Medicine in 2021, 5 years ago. Practices with Brown Emergency Medicine, a 140-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
5
Trained at
Stanford University School of Medicine
Licensed in
RI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-6489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD19979 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LP05356 (RI)

Record details

NPI number1306411889
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address55 Claverick St Fl 2, Providence, RI 02903-4144

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Brown Emergency Medicine — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence