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  5. CARDIOLOGY ASSOCIATES, INC.

CARDIOLOGY ASSOCIATES, INC.

Company Details

Name: CARDIOLOGY ASSOCIATES, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 27 Sep 1973 (51 years ago)
Date of Dissolution: 15 Nov 2018 (6 years ago)
Date of Status Change: 15 Nov 2018 (6 years ago)
Identification Number: 000003600
ZIP code: 02895
County: Providence County
Principal Address: 25 JOHN CUMMINGS WAY 2ND FLOOR, WOONSOCKET, RI, 02895, USA
Purpose: RENDERING PROFESSIONAL MEDICAL SERVICES
NAICS: 62 - Health Care and Social Assistance
Fictitious names: Ocean State Vein Center (trading name, 2011-08-16 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649384355 2006-08-18 2010-06-17 25 JOHN CUMMINGS WAY, WOONSOCKET, RI, 02895, US 25 JOHN A CUMMINGS WAY, WOONSOCKET, RI, 028953224, US

Contacts
Phone +1 401-766-5959

Authorized person
Name DR. MOHAMMAD ARIF
Role PRESIDENT
Phone 4017665959

Taxonomy
Taxonomy Code 174400000X - Specialist
State RI
Is Primary Yes

Other Provider Identifiers
Issuer RR MEDICARE
Number CN0693
State RI
Issuer MEDICAID
Number 9000224
State RI
Issuer BLUE CROSS
Number 224-6
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIOLOGY ASSOCIATES, INC. PROFIT SHARING PLAN 2013 050353732 2014-04-10 CARDIOLOGY ASSOCIATES, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 4017665959
Plan sponsor’s address 25 JOHN A. CUMMINGS WAY, WOONSOCKET, RI, 02895

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing MOHAMMED ARIF
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY ASSOCIATES, INC. PROFIT SHARING PLAN 2012 050353732 2013-07-11 CARDIOLOGY ASSOCIATES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 4017665959
Plan sponsor’s address 25 JOHN A. CUMMINGS WAY, WOONSOCKET, RI, 02895

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing MOHAMMED ARIF
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY ASSOCIATES, INC. PROFIT SHARING PLAN 2011 050353732 2012-10-16 CARDIOLOGY ASSOCIATES, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 4017665959
Plan sponsor’s address 25 JOHN A. CUMMINGS WAY, WOONSOCKET, RI, 02895

Plan administrator’s name and address
Administrator’s EIN 050353732
Plan administrator’s name CARDIOLOGY ASSOCIATES, INC.
Plan administrator’s address 25 JOHN A. CUMMINGS WAY, WOONSOCKET, RI, 02895
Administrator’s telephone number 4017665959

Signature of
Role Plan administrator
Date 2012-10-16
Name of individual signing MOHAMMED ARIF
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY ASSOCIATES, INC. PROFIT SHARING PLAN 2010 050353732 2011-10-14 CARDIOLOGY ASSOCIATES, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 4017665959
Plan sponsor’s address 25 JOHN A CUMMINGS WAY, WOONSOCKET, RI, 028953224

Plan administrator’s name and address
Administrator’s EIN 050353732
Plan administrator’s name CARDIOLOGY ASSOCIATES, INC.
Plan administrator’s address 25 JOHN A CUMMINGS WAY, WOONSOCKET, RI, 028953224
Administrator’s telephone number 4017665959

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing MOHAMMED ARIF
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY ASSOCIATES, INC. PROFIT SHARING PLAN 2009 050353732 2010-10-15 CARDIOLOGY ASSOCIATES, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 4017665959
Plan sponsor’s address 25 JOHN A CUMMINGS WAY, WOONSOCKET, RI, 028953224

Plan administrator’s name and address
Administrator’s EIN 050353732
Plan administrator’s name CARDIOLOGY ASSOCIATES, INC.
Plan administrator’s address 25 JOHN A CUMMINGS WAY, WOONSOCKET, RI, 028953224
Administrator’s telephone number 4017665959

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing MOHAMMAD ARIF
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
MOHAMMAD ARIF MD PRESIDENT 25 JOHN CUMMINGS WAY, 4TH FLOOR WOONSOCKET, RI 02895 USA

Filings

Number Name File Date
201881193610 Revocation Certificate For Failure to File the Annual Report for the Year 2018-11-15
201875409170 Revocation Notice For Failure to File An Annual Report 2018-08-24
201734630280 Annual Report 2017-02-23
201692118260 Annual Report 2016-02-08
201561186620 Annual Report 2015-04-24
201437919970 Annual Report 2014-03-31
201326025270 Annual Report 2013-07-09
201321763690 Revocation Notice For Failure to File An Annual Report 2013-06-03
201293576630 Annual Report 2012-05-30
201292950620 Revocation Notice For Failure to File An Annual Report 2012-05-23

Related by officers

STEPHEN D. ZUBIAGO, ESQ.

Nicholas A. Califano, M.D., Inc. MIRIAM IPA, INC. ORTHOPEDIC GROUP, INC. Bayside Endoscopy Group, Inc. Mobile Storage Inc. H & H TRUCKING INC. MIRIAM PHO, INC. Bayside OB-GYN, Inc. West Bay Orthopaedics and Neurosurgery, Inc. Cornerstone Financial Group, Inc.

Related by address

No related companies by address

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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