OrganizationActive
East Side Surgical Group Inc
NPI 1043496359 · Specialist · Pawtucket, RI
Provider details
- NPI number
- 1043496359
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Steven Cohen, President(401) 312-0023
- License
- RI5011 (RI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
407 East Avenue
Suite 200
Pawtucket, RI 02860-5299
Phone: (401) 312-0023
Fax: (401) 312-0006
Street-level locationGet directions
Mailing address
407 East Avenue
Pawtucket, RI 02860-5299
Other names (DBA / former)
- Other name
- Breast Health
Registry dates
- Enumerated
- 2008-01-16
- Last updated
- 2014-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.