Eastside Neurology, Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

7343 Issued in RI

Legal business name

EASTSIDE NEUROLOGY, INC.

Practice address

450 Veterans Memorial Pkwy
Building 11
East Providence, RI 02914-5300

Phone

(401) 431-1860

Fax

(401) 435-0328

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Norman Mervyn Gordon, M.D.NPI 1467481648

Title

President

Phone

(401) 431-1860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12583/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norman Mervyn Gordon, M.D.

  • Neurology Physician
  • East Providence, RI
  • NPI 1467481648
  Medicare reassignment Authorized official
• Fred Flynt Griffith, M.D.

  • Neurology Physician
  • East Providence, RI
  • NPI 1639108509
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1407079643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "address_2": "BUILDING 11",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-431-1860",
            "fax_number": "401-435-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "address_2": "BUILDING 11",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-431-1860",
            "fax_number": "401-435-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE NEUROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "MERVYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-431-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "7343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Providence Footcare,Inc.
• East Providence Senior Center
• East Providence Senior Center
• East Side Clinical Laboratory, Inc.
• Eastgate Nursing and Recovery Center Inc.
• Eldercare Consultants Home Care
• Elysian Psychotherapy
• Emma Pendleton Bradley Hospital
• Patricia A Engler, PHD
• Christine L Enos, LICSW

• Neurology Physician in East Providence, RI
• Providers in East Providence, RI by specialty
• Neurology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.