| Name: | DAVID J. DISANTO, M.D., INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 May 1983 (42 years ago) |
| Date of Dissolution: | 12 Oct 2022 (3 years ago) |
| Date of Status Change: | 12 Oct 2022 (3 years ago) |
| Identification Number: | 000007581 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 2464 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | TO RENDER PROFESSIONAL SERVICES BY THOSE AUTHORIZED TO PRACTICE MEDICINE |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194081463 | 2012-04-11 | 2012-04-11 | 2464 PAWTUCKET AVE, EAST PROVIDENCE, RI, 029143218, US | 2464 PAWTUCKET AVE, EAST PROVIDENCE, RI, 029143218, US | |||||||||||||||||||
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| Phone | +1 401-431-0226 |
| Fax | 4014343166 |
Authorized person
| Name | DAVID J DISANTO |
| Role | OWNER |
| Phone | 4014310226 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| License Number | MD05417 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVID A. DIPALMA, ESQ./CPA | Agent | 2447 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| DAVID J DISANTO | PRESIDENT | 2464 PAWTUCKET AVENUE EAST PROVIDENCE, RI 02914 USA |
| Number | Name | File Date |
|---|---|---|
| 202223867880 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
| 202219980360 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202189441410 | Annual Report | 2021-02-02 |
| 202035699550 | Annual Report | 2020-03-02 |
| 201986447320 | Annual Report | 2019-02-12 |
| 201877800740 | Annual Report | 2018-09-19 |
| 201875412800 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201731154770 | Annual Report | 2017-01-30 |
| 201608934410 | Annual Report | 2016-09-16 |
| 201608934500 | Statement of Change of Registered Office by the Registered Agent | 2016-09-16 |
Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
