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  5. Nephrology Associates, Inc.

Nephrology Associates, Inc.

Company Details

Name: Nephrology Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Oct 1973 (52 years ago)
Date of Dissolution: 12 Oct 2022 (3 years ago)
Date of Status Change: 12 Oct 2022 (3 years ago)
Identification Number: 000014772
ZIP code: 02914
County: Providence County
Principal Address: 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 02914, USA
Purpose: MEDICAL SERVICES

Industry & Business Activity

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

Companies doing Offices of physicians (except mental health specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366426801 2005-11-29 2009-11-10 318 WATERMAN AVE, EAST PROVIDENCE, RI, 02914, US 318 WATERMAN AVE, EAST PROVIDENCE, RI, 029143525, US

Contacts
Phone +1 401-438-5950
Fax 4014352561

Authorized person
Name JOSEPH A CHAZAN
Role PRESIDENT
Phone 4014385950

Taxonomy
Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 0025539
State RI
Issuer NPI
Number 1366426801
Issuer MEDICAID
Number 9765972
State MA
Issuer MEDICAID
Number 110069682B
State MA
Issuer BLUE CROSS
Number 255
State RI
Issuer MEDICAID
Number 9736352
State MA
Issuer BLUE CROSS
Number M13329
State MA
Issuer MEDICAID
Number 110069682A
State RI
Issuer BLUE CROSS
Number M15273
State MA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2022 050352774 2023-08-16 NEPHROLOGY ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2021 050352774 2022-12-29 NEPHROLOGY ASSOCIATES, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2020 050352774 2022-03-01 NEPHROLOGY ASSOCIATES, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2019 050352774 2020-12-22 NEPHROLOGY ASSOCIATES, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2018 050352774 2020-01-31 NEPHROLOGY ASSOCIATES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2017 050352774 2019-01-30 NEPHROLOGY ASSOCIATES, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2016 050352774 2017-11-30 NEPHROLOGY ASSOCIATES, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2015 050352774 2016-11-22 NEPHROLOGY ASSOCIATES, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2014 050352774 2016-03-18 NEPHROLOGY ASSOCIATES, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950
NEPHROLOGY ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2013 050352774 2015-04-02 NEPHROLOGY ASSOCIATES, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950

Signature of
Role Plan administrator
Date 2015-04-02
Name of individual signing JOSEPH CHAZAN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/12/20140612120932P040439913569001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950

Signature of
Role Plan administrator
Date 2014-06-12
Name of individual signing JOSEPH CHAZAN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/27/20130627145758P030098495013001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing JOSEPH CHAZAN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/16/20120716114129P030005453714001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing JOSEPH CHAZAN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/11/20110711133333P040013849570001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-02-01
Business code 621111
Sponsor’s telephone number 4014385950
Plan sponsor’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129

Plan administrator’s name and address
Administrator’s EIN 050352774
Plan administrator’s name NEPHROLOGY ASSOCIATES, INC.
Plan administrator’s address 318 WATERMAN AVENUE, PROVIDENCE, RI, 029065129
Administrator’s telephone number 4014385950

Signature of
Role Plan administrator
Date 2011-07-11
Name of individual signing JOSEPH CHAZAN, M.D.
Valid signature Filed with authorized/valid electronic signature

VICE PRESIDENT

Name Role Address
DANIEL L DRAGOMIRE VICE PRESIDENT 7 GRANDVIEW AVENUE LINCOLN, RI 02865 USA
CHRISTOPHER COSGROVE VICE PRESIDENT 70 PEIRCE STREET EAST GREENWICH, RI 02818 USA

Agent

Name Role Address
MICHAEL THURSBY Agent 318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
MICHAEL A THURSBY PRESIDENT 66 LAURIE LANE NORTH ATTLEBORO, MA 02760 USA

Filings

Number Name File Date
202223870420 Revocation Certificate For Failure to File the Annual Report for the Year 2022-10-12
202219987710 Revocation Notice For Failure to File An Annual Report 2022-06-27
202192487610 Annual Report 2021-02-22
202034166800 Annual Report 2020-02-10
201984092720 Annual Report 2019-01-09
201859275290 Annual Report 2018-02-26
201731069010 Annual Report 2017-01-27
201690700610 Annual Report 2016-01-14
201552773480 Annual Report 2015-01-06
201432490960 Annual Report 2014-01-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1425987104 2020-04-10 0165 PPP 318 WATERMAN AVE, EAST PROVIDENCE, RI, 02914-3525
Loan Status Date 2021-02-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 401200
Loan Approval Amount (current) 401200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120245
Servicing Lender Name Bank Rhode Island
Servicing Lender Address One Turks Head Place, PROVIDENCE, RI, 02903-2219
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address EAST PROVIDENCE, PROVIDENCE, RI, 02914-3525
Project Congressional District RI-01
Number of Employees 23
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 120245
Originating Lender Name Bank Rhode Island
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 404108.7
Forgiveness Paid Date 2021-01-12

Related by officers

No related officers

Related by address

318 WATERMAN AVENUE, EAST PROVIDENCE, RI, 02914, USA

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Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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