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Eastside Neurology, Inc.

Company Details

Name: Eastside Neurology, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 10 Nov 1998 (26 years ago)
Identification Number: 000103384
ZIP code: 02914
County: Providence County
Principal Address: 450 VETERANS MEMORIAL PARKWAY BUILDING 11, EAST PROVIDENCE, RI, 02914, USA
Purpose: MEDICAL, NEUROLOGY
Fictitious names: METACOMET MRI (trading name, 2004-08-23 - 2004-11-18)

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407079643 2007-04-10 2020-08-22 450 VETERANS MEMORIAL PKWY, BUILDING 11, EAST PROVIDENCE, RI, 029145300, US 450 VETERANS MEMORIAL PKWY, BUILDING 11, EAST PROVIDENCE, RI, 029145300, US

Contacts

Phone +1 401-431-1860
Fax 4014350328

Authorized person

Name DR. NORMAN MERVYN GORDON
Role PRESIDENT
Phone 4014311860

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
License Number 7343
State RI
Is Primary Yes

PRESIDENT

Name Role Address
NORMAN M GORDON MD PRESIDENT 450 VETERANS MEMORIAL PARKWAY, #11 EAST PROVIDENCE, RI 02914- USA

Agent

Name Role Address
NORMAN M. GORDON, MD Agent 450 VETERANS MEMORIAL PARKWAY, EAST PROVIDENCE, RI, 02914, USA

Filings

Number Name File Date
202455131050 Annual Report 2024-05-31
202335380130 Annual Report 2023-05-08
202216114380 Annual Report 2022-04-28
202183892740 Annual Report 2021-01-04
201929720220 Annual Report 2019-12-11
201882738270 Annual Report 2018-12-17
201755002080 Annual Report 2017-12-13
201733655950 Annual Report 2017-02-07
201589114160 Annual Report 2015-12-14
201451079980 Annual Report 2014-12-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5056188403 2021-02-07 0165 PPS 450 Veterans Memorial Pkwy Ste 11, East Providence, RI, 02914-5300
Loan Status Date 2022-03-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 60111.4
Loan Approval Amount (current) 60111.4
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120245
Servicing Lender Name Bank Rhode Island
Servicing Lender Address One Turks Head Place, PROVIDENCE, RI, 02903-2219
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address East Providence, PROVIDENCE, RI, 02914-5300
Project Congressional District RI-01
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 120245
Originating Lender Name Bank Rhode Island
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 60437
Forgiveness Paid Date 2021-08-24
9463387000 2020-04-09 0165 PPP 450 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI, 02914-5300
Loan Status Date 2021-06-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 60000
Loan Approval Amount (current) 60000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120245
Servicing Lender Name Bank Rhode Island
Servicing Lender Address One Turks Head Place, PROVIDENCE, RI, 02903-2219
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address EAST PROVIDENCE, PROVIDENCE, RI, 02914-5300
Project Congressional District RI-01
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 120245
Originating Lender Name Bank Rhode Island
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 60628.33
Forgiveness Paid Date 2021-05-05

Date of last update: 09 Apr 2025

Sources: Rhode Island Department of State