Active NPIOrganization

Eastside Neurology, INC.

Psychiatry & Neurology, Neurology in East Providence, Rhode Island

NPI Number1407079643
Practice location
450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300
Fax
401-435-0328
Last updated
May 21, 2026

Eastside Neurology, INC. is a healthcare organization based in East Providence, RI. Eastside Neurology, INC. practices in East Providence, RI. The NPI Number for Eastside Neurology, INC. is 1407079643 and holds a License No. 7343 (RI). The current practice location address for Eastside Neurology, INC. is 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300 and can be reached out via phone at 401-431-1860 and via fax at 401-435-0328.

Provider Profile Details

NPI Number
1407079643
Provider Name
Eastside Neurology, INC.
Provider Entity Type
Organization
Address
450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300
Phone Number
401-431-1860
Fax Number
401-435-0328
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Organization Subpart
No
Authorized Official
Dr. Norman Mervyn Gordon, MD · President · 401-431-1860
Provider Enumeration Date
April 10, 2007
Last Update Date
May 21, 2026
Certification Date
May 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Veterans Memorial Pkwy
Building 11
East Providence, RI 02914-5300
Zip
02914-5300
Phone Number
401-431-1860
Fax Number
401-435-0328
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
450 Veterans Memorial Pkwy
Building 11
East Providence, RI 02914-5300
City
East Providence
State
RI
Zip
02914-5300
Phone Number
401-431-1860
Fax Number
401-435-0328

License Information

License Number
7343
License State
RI
Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychiatry & Neurology, Neurology providers near East Providence, RI

View all Psychiatry & Neurology, Neurology providers in East Providence →

Frequently Asked Questions

What is the NPI number of Eastside Neurology, INC.?

The NPI number of Eastside Neurology, INC. is 1407079643. It was assigned on April 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Eastside Neurology, INC.?

Eastside Neurology, INC. is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in RI under license number 7343.

Where does Eastside Neurology, INC. practice?

The practice location is 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300. The office can be reached at 401-431-1860 (phone) or 401-435-0328 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407079643 directly on the NPPES registry website.

Browse related providers