| Name: | Cumberland Pediatrics, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 24 Sep 1973 (52 years ago) |
| Date of Dissolution: | 29 Jul 2021 (4 years ago) |
| Date of Status Change: | 29 Jul 2021 (4 years ago) |
| Identification Number: | 000005491 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 132 OLD RIVER ROAD SUITE 107, LINCOLN, RI, 02865, USA |
| Purpose: | MEDICAL SERVICES |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841466364 | 2008-05-05 | 2008-05-05 | 132 OLD RIVER RD, SUITE 107, LINCOLN, RI, 028651161, US | 132 OLD RIVER RD, SUITE 107, LINCOLN, RI, 028651161, US | |||||||||||||||||||
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| Phone | +1 401-334-3388 |
| Fax | 4013343389 |
Authorized person
| Name | LOUIS A COLANTONIO |
| Role | PRESIDENT |
| Phone | 4013343388 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | MD04611 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOUIS A COLANTONIO MD | PRESIDENT | 50 ARNOLD DRIVE CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| LOUIS A. COLANTONIO | Agent | 132 OLD RIVER ROAD SUITE 107, LINCOLN, RI, 02865, USA |
| Number | Name | File Date |
|---|---|---|
| 202199620830 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196721170 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202039933740 | Annual Report | 2020-05-12 |
| 201989537820 | Annual Report | 2019-03-29 |
| 201857586190 | Annual Report | 2018-02-02 |
| 201731083160 | Annual Report | 2017-01-30 |
| 201691636990 | Annual Report | 2016-02-01 |
| 201554277030 | Annual Report | 2015-01-26 |
| 201434528940 | Annual Report | 2014-01-29 |
| 201311514510 | Annual Report | 2013-02-13 |
Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
