Eastside Neurology, Inc.
NPI 1407079643ActiveOrganization· Psychiatry & Neurology, Neurology· East Providence, RI
Psychiatry & Neurology, Neurology in East Providence, Rhode Island, registered in NPPES in April 2007. The authorized official on file is Norman Mervyn Gordon, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407079643 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2007 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | 7343 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
Other Psychiatry & Neurology, Neurology providers in East Providence
- 1831975309
- 1467481648
- 1639108509
- 1023135720
- 1346279528
All Psychiatry & Neurology, Neurology providers in Rhode Island →