Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Bristol County
    4. ›
  4. 02806
    5. ›
  5. Barrington Pediatric Associates, Inc.

Barrington Pediatric Associates, Inc.

Company Details

Name: Barrington Pediatric Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Dec 1977 (47 years ago)
Identification Number: 000002005
ZIP code: 02806
County: Bristol County
Principal Address: 334 D. COUNTY ROAD, BARRINGTON, RI, 02806, USA
Purpose: PROFESSIONAL SERVICES BY PERSONS AUTHORIZED TO PRACTICE MEDICINE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972636850 2007-03-13 2020-08-22 334 COUNTY RD STE D, BARRINGTON, RI, 028062430, US 334 COUNTY RD STE D, BARRINGTON, RI, 028062430, US

Contacts
Phone +1 401-247-2288
Fax 4012472960

Authorized person
Name VICTOR D. LERISH
Role MANAGING PARTNER
Phone 4012471640

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number BP00925
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BARRINGTON PEDIATRIC ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2015 050374336 2016-05-23 BARRINGTON PEDIATRIC ASSOCIATES, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 4012472288
Plan sponsor’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing RONNI PELTZ, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON PEDIATRIC ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2014 050374336 2015-06-03 BARRINGTON PEDIATRIC ASSOCIATES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 4012472288
Plan sponsor’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing RONNI PELTZ, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON PEDIATRIC ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2013 050374336 2014-06-18 BARRINGTON PEDIATRIC ASSOCIATES, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 4012472288
Plan sponsor’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 050374336
Plan administrator’s name BARRINGTON PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012472288

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing VICTOR LERISH, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON PEDIATRIC ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2012 050374336 2013-04-09 BARRINGTON PEDIATRIC ASSOCIATES, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 4012472288
Plan sponsor’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 050374336
Plan administrator’s name BARRINGTON PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012472288

Signature of
Role Plan administrator
Date 2013-04-09
Name of individual signing VICTOR LERISH, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON PEDIATRIC ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2011 050374336 2012-06-05 BARRINGTON PEDIATRIC ASSOCIATES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 4012472288
Plan sponsor’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 050374336
Plan administrator’s name BARRINGTON PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012472288

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing VICTOR LERISH, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON PEDIATRIC ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2010 050374336 2011-06-09 BARRINGTON PEDIATRIC ASSOCIATES, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 4012472288
Plan sponsor’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 050374336
Plan administrator’s name BARRINGTON PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012472288

Signature of
Role Plan administrator
Date 2011-06-09
Name of individual signing VICTOR LERISH, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-09
Name of individual signing VICTOR LERISH, M.D.
Valid signature Filed with authorized/valid electronic signature
BARRINGTON PEDIATRIC ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2009 050374336 2010-06-28 BARRINGTON PEDIATRIC ASSOCIATES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 4012472288
Plan sponsor’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 050374336
Plan administrator’s name BARRINGTON PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012472288

Signature of
Role Plan administrator
Date 2010-06-28
Name of individual signing VICTOR LERISH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-28
Name of individual signing VICTOR LERISH, M.D.
Valid signature Filed with authorized/valid electronic signature
BARRINGTON PEDIATRIC ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2009 050374336 2010-06-22 BARRINGTON PEDIATRIC ASSOCIATES, INC. 33
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 4012472288
Plan sponsor’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 050374336
Plan administrator’s name BARRINGTON PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 334D COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012472288

Agent

Name Role Address
PAUL A. SILVER Agent 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
RONNI PELTZ, M.D. PRESIDENT 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA

TREASURER

Name Role Address
LISA KESWICK, M.D. TREASURER 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA

SECRETARY

Name Role Address
KATHERINE HART, M.D. SECRETARY 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA

VICE PRESIDENT

Name Role Address
KEVIN EDWARD CLEGG, M.D. VICE PRESIDENT 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA

DIRECTOR

Name Role Address
LISA A. KESWICK, M.D. DIRECTOR 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA
KATHERINE HART, M.D. DIRECTOR 334D COUNTY ROAD BARRINGTON, RI 02806 USA
KEVIN EDWARD CLEGG, M.D. DIRECTOR 334D COUNTY ROAD BARRINGTON, RI 02806 USA
JENNIFER MILEIKOWSKY , M.D. DIRECTOR 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA
MICHELLE BELLER , M.D. DIRECTOR 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA
JOHN BUTLER, M.D. DIRECTOR 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA
RONNI PELTZ, M.D. DIRECTOR 334 D. COUNTY ROAD BARRINGTON, RI 02806 USA

Filings

Number Name File Date
202455195890 Annual Report 2024-05-31
202335352010 Annual Report 2023-05-06
202208869920 Annual Report 2022-01-30
202195130630 Annual Report 2021-03-31
202036613050 Annual Report 2020-03-20
201921397060 Annual Report - Amended 2019-09-25
201989559660 Annual Report 2019-03-30
201861258090 Annual Report 2018-03-30
201738988800 Annual Report 2017-03-27
201695401080 Annual Report 2016-03-30

Related by officers

PAUL A. SILVER

Beverly Land Company B. ALLEN FLAXMAN, M.D., INC. Mercury Products Corporation Gledhill Company Surrender Dorothy, Inc. NARRAGANSETT RESOURCES, INC. Jeffrey F. Latham, M.D., Inc. RICHMOND INTERNATIONAL, INC. Colonial Band of Rhode Island The Rhode Island Community Foundation

Related by address

No related companies by address

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated