{"npi":"1407079643","type":"NPI-2","status":"active","name":{"display":"Eastside Neurology, Inc.","other":[],"organization_name":"EASTSIDE NEUROLOGY, INC.","authorised_official":"Norman Gordon"},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":true,"state":"RI","license":"7343"}]},"addresses":[{"purpose":"LOCATION","street_1":"450 VETERANS MEMORIAL PKWY","city":"EAST PROVIDENCE","state":"RI","postal_code":"029145300","country_code":"US","street_2":"BUILDING 11","phone":"4014311860","fax":"4014350328"},{"purpose":"MAILING","street_1":"450 VETERANS MEMORIAL PKWY","city":"EAST PROVIDENCE","state":"RI","postal_code":"029145300","country_code":"US","street_2":"BUILDING 11","phone":"4014311860","fax":"4014350328"}],"license":{"state":"RI","number":"7343"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080826000446","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"RI","pac_id":"1658446695"}]},"enumeration_date":"2007-04-10","last_updated":"2026-05-21","_meta":{"source":"NPPES","snapshot_date":"2026-05-21","doc_url":"https://findmynpi.com/api"}}