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EASTSIDE NEUROLOGY, INC.
NPI 1407079643
Psychiatry & Neurology - Neurology in East Providence, RI

Active since April 10, 2007
450 VETERANS MEMORIAL PKWY, BUILDING 11, EAST PROVIDENCE, RI 02914(401) 431-1860(401) 435-0328 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Eastside Neurology, Inc. NPPES

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

EASTSIDE NEUROLOGY, INC. (NPI 1407079643) is a healthcare organization registered as a neurology in East Providence, Rhode Island and active in the NPI registry since April 2007. The organization lists Norman Mervyn Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1407079643
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameEASTSIDE NEUROLOGY, INC.
Location Address450 VETERANS MEMORIAL PKWY, BUILDING 11East Providence, RI 02914-5300
Mailing Address450 Veterans Memorial Pkwy, Building 11East Providence, RI 02914-5300 · (401) 431-1860 · Fax (401) 435-0328
Phone(401) 431-1860
Fax(401) 435-0328
Organization SubpartNo
Authorized OfficialNorman Mervyn GordonPresident · (401) 431-1860
Enumeration DateApril 10, 2007
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1407079643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in RI · 7343
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
450 VETERANS MEMORIAL PKWY, East Providence, RI 02914
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastside Neurology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastside Neurology, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Norman Gordon, M.D.
Neurology
NPI 1467481648
450 VETERANS MEMORIAL PKWY BUILDING 11
East Providence, RI 02914
(401) 431-1860
✔ PECOS✔ Accepts MedicareSame address

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 Eastside Neurology, Inc.'s NPI number?

The NPI number for Eastside Neurology, Inc. is 1407079643. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Eastside Neurology, Inc. located?

Eastside Neurology, Inc. is located at 450 Veterans Memorial Pkwy Building 11, East Providence, RI 02914. The listed phone number is (401) 431-1860.

What is Eastside Neurology, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Eastside Neurology, Inc. enrolled in Medicare?

Yes. Eastside Neurology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastside Neurology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Eastside Neurology, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastside Neurology, Inc. was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.