| Name: | University Otolaryngology - Head and Neck Surgery, Incorporated |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Jul 1969 (56 years ago) |
| Identification Number: | 000010461 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 1351 SOUTH COUNTY TRAIL UNIT 303, EAST GREENWICH, RI, 02818, USA |
| Purpose: | MEDICAL SERVICES |
| Fictitious names: |
New England Otology Center (trading name, 1989-05-10 - ) |
| Historical names: |
PEARSON, MCNELIS & HILL, INC. Pearson, McNelis, Hill & Bellino, Inc. ENT Associates, Inc. |
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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164730065 | 2010-09-14 | 2012-08-15 | 116 MAIN ST, WAKEFIELD, RI, 028793566, US | 116 MAIN ST, WAKEFIELD, RI, 028793566, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 401-782-4400 |
| Fax | 4017824994 |
Authorized person
| Name | DR. PETER T NIGRI |
| Role | PRESIDENT |
| Phone | 4012722300 |
Taxonomy
| Taxonomy Code | 207YS0123X - Facial Plastic Surgery Physician |
| License Number | 9418 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9020447 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BRUCE A. WOLPERT, ESQ. | Agent | 235 PROMENADE STREET SUITE 475, PROVIDENCE, RI, 02908, USA |
| Name | Role | Address |
|---|---|---|
| ANDREW E BURCHARD MD | PRESIDENT | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| BRIAN E. DUFF MD | TREASURER | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| SHARON E. GIBSON MD | SECRETARY | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| JAN C. GROBLEWSKI MD | VICE PRESIDENT | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| ANDREW E. BURCHARD MD | DIRECTOR | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| JAN C. GROBLEWSKI MD | DIRECTOR | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| BRIAN E. DUFF MD | DIRECTOR | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| SHARON E. GIBSON MD | DIRECTOR | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| CHARLES M. RUHL MD | DIRECTOR | 1351 SOUTH COUNTY TRAIL, UNIT 303 EAST GREENWICH, RI 02818 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1996-01-11 | ENT Associates, Inc. | University Otolaryngology - Head and Neck Surgery, Incorporated |
| Name Change | 1974-12-31 | Pearson, McNelis, Hill & Bellino, Inc. | ENT Associates, Inc. |
| Name Change | 1973-04-02 | PEARSON, MCNELIS & HILL, INC. | Pearson, McNelis, Hill & Bellino, Inc. |
| Number | Name | File Date |
|---|---|---|
| 202447482180 | Annual Report | 2024-02-28 |
| 202332061230 | Annual Report | 2023-03-30 |
| 202222507660 | Statement of Change of Registered Office by the Registered Agent | 2022-08-26 |
| 202212377040 | Annual Report | 2022-03-01 |
| 202105028150 | Statement of Change of Registered/Resident Agent | 2021-11-12 |
| 202192797340 | Annual Report | 2021-02-24 |
| 202040304410 | Annual Report | 2020-05-14 |
| 201988612050 | Annual Report | 2019-03-13 |
| 201859157190 | Annual Report | 2018-02-23 |
| 201748089900 | Statement of Change of Registered/Resident Agent | 2017-07-31 |
Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
