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Gastroenterology Associates, Inc.

Company Details

Name: Gastroenterology Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 29 Jul 1976 (49 years ago)
Identification Number: 000009960
Principal Address: 5401 S. CONGRESS AVENUE SUITE 211, ATLANTIS, FL, 33462, USA
Purpose: MEDICAL PRACTICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093723546 2006-08-03 2015-03-05 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609, US 44 WEST RIVER STREET, PROVIDENCE, RI, 02904, US

Contacts
Phone +1 401-274-4800
Fax 4014540410

Authorized person
Name NEIL R GREENSPAN
Role PRESIDENT
Phone 4012744800

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 9000110
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GASTROENTEROLOGY ASSOCIATES, INC. PSP & TRUST 2023 050368760 2024-10-11 GASTROENTEROLOGY ASSOCIATES, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing ALICE MICKLICH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing ALICE MICKLICH
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PSP & TRUST 2022 050368760 2023-06-21 GASTROENTEROLOGY ASSOCIATES, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing ALICE MICKLICH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-21
Name of individual signing ALICE MICKLICH
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PSP & TRUST 2021 050368760 2022-08-01 GASTROENTEROLOGY ASSOCIATES, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-01
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PSP & TRUST 2020 050368760 2021-10-08 GASTROENTEROLOGY ASSOCIATES, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-08
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PSP & TRUST 2019 050368760 2020-10-14 GASTROENTEROLOGY ASSOCIATES, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing DAVID SCHREIBER
Valid signature Filed with incorrect/unrecognized electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PSP & TRUST 2018 050368760 2019-09-27 GASTROENTEROLOGY ASSOCIATES, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-27
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PROFIT SHARING PLAN & TRUST 2012 050368760 2013-09-12 GASTROENTEROLOGY ASSOCIATES, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s mailing address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Plan administrator’s name and address
Administrator’s EIN 050368760
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES, INC.
Plan administrator’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609
Administrator’s telephone number 4012744800

Number of participants as of the end of the plan year
Active participants 35
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 28
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 58
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PROFIT SHARING PLAN & TRUST 2011 050368760 2012-09-28 GASTROENTEROLOGY ASSOCIATES, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s mailing address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Plan administrator’s name and address
Administrator’s EIN 050368760
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES, INC.
Plan administrator’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609
Administrator’s telephone number 4012744800

Number of participants as of the end of the plan year
Active participants 30
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 25
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 51
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PROFIT SHARING PLAN & TRUST 2010 050368760 2011-09-27 GASTROENTEROLOGY ASSOCIATES, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s mailing address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Plan administrator’s name and address
Administrator’s EIN 050368760
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES, INC.
Plan administrator’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609
Administrator’s telephone number 4012744800

Number of participants as of the end of the plan year
Active participants 35
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 20
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 47
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES, INC. PROFIT SHARING PLAN & TRUST 2009 050368760 2010-09-28 GASTROENTEROLOGY ASSOCIATES, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 4012744800
Plan sponsor’s mailing address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609
Plan sponsor’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609

Plan administrator’s name and address
Administrator’s EIN 050368760
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES, INC.
Plan administrator’s address 44 WEST RIVER STREET, PROVIDENCE, RI, 029042609
Administrator’s telephone number 4012744800

Number of participants as of the end of the plan year
Active participants 31
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 17
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 44
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing DAVID SCHREIBER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
WEBER JAMES PRESIDENT 44 WEST RIVER STREET PROVIDENCE, RI 02904 USA

SECRETARY

Name Role Address
WEBER JAMES SECRETARY 44 WEST RIVER STREET PROVIDENCE, RI 02904 USA

Filings

Number Name File Date
202458233490 Statement of Change of Registered/Resident Agent 2024-07-19
202457578330 Annual Report 2024-07-03
202457103820 Revocation Notice For Failure to File An Annual Report 2024-06-25
202332469900 Annual Report 2023-04-06
202222426880 Annual Report 2022-08-24
202219982670 Revocation Notice For Failure to File An Annual Report 2022-06-27
202193871120 Annual Report 2021-03-12
202059855640 Annual Report 2020-10-01
202054948040 Revocation Notice For Failure to File An Annual Report 2020-09-16
201919502540 Annual Report 2019-09-13

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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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