Active NPI
Norman Mervyn Gordon, M.D.
- Neurology Physician
- East Providence, RI
National Provider Identifier
1467481648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 7343
- Practice address
- 450 Veterans Memorial Pkwy
Building 11
East Providence, RI 02914-5300 - Phone
- (401) 431-1860
- Fax
- (401) 435-0328
- NPI assigned
- Jul 1, 2006
- Last updated
- May 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 7343 | RI | Primary |
Addresses
Primary practice location
450 Veterans Memorial Pkwy
Building 11
East Providence, RI 02914-5300
Mailing address
450 Veterans Memorial Pkwy
Building 11
East Providence, RI 02914-5300
Phone (401) 431-1860
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0500232 | Other | RI | UNITED HEALTHCARE |
| 20655-8 | Other | RI | BLUE CROSS BLUE SHIELD |
| 2505 | Other | RI | NEIGHBORHOOD HEALTH |
| 201764 | Other | RI | BC/BS BLUE CHIP |
| 9006527 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
450 Veterans Memorial Pkwy
BLDG 11
East Providence, RI 02914-5300
Phone (401) 431-1860
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.18 of 100
- Quality
- 81.97
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7343 | RI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Dermatology, Inc. | Current | Accepting new patients |
Locations
450 Veterans Memorial Pkwy
#11
East Providence, RI 02914
Phone (401) 277-9150
450 Veterans Memorial Pkwy
Bldg 11
East Providence, RI 02914
Phone (401) 305-3322
Interoperability endpoints
- norman.gordon.1@12583.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- East Providence, RI
- NPI 1407079643
-
- Dermatology Physician
- Providence, RI
- NPI 1316996101
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1467481648",
"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": {
"last_name": "GORDON",
"first_name": "NORMAN",
"middle_name": "MERVYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "RI",
"license": "7343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0500232",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "20655-8",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "2505",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS BLUE CHIP",
"identifier": "201764",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9006527",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.