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

Jordan Benjamin Raheb

Individual provider Physician Assistant · NPI 1821650136

Jordan Benjamin Raheb is a Physician Assistant in Cumberland, Rhode Island. Qualified in 2019, 7 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
7
Licensed in
RI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2140 Mendon Rd
Cumberland, RI 02864-3843
Phone: (401) 642-2072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA001176 (RI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1821650136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2019
Last updated in NPPESSeptember 4, 2019
Mailing address12 Christopher Dr, Lincoln, RI 02865-4945

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Cumberland