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  5. PEDIATRIC ASSOCIATES, INC.

PEDIATRIC ASSOCIATES, INC.

Company Details

Name: PEDIATRIC ASSOCIATES, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 06 Mar 1969 (56 years ago)
Identification Number: 000016398
ZIP code: 02914
County: Providence County
Principal Address: 450 VETERAN'S MEMORIAL PKWY BUILDING 10, EAST PROVIDENCE, RI, 02914, USA
Purpose: PEDIATRIC 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
1205974623 2007-02-01 2011-11-14 450 VETERANS MEMORIAL PKWY BLDG 10, EAST PROVIDENCE, RI, 029145300, US 450 VETERANS MEMORIAL PKWY BLDG 10, EAST PROVIDENCE, RI, 029145300, US

Contacts
Phone +1 401-438-6888
Fax 4014341285

Authorized person
Name DR. KIMBERLEY J. TOWNSEND
Role PRESIDENT
Phone 4014386888

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
License Number MD9132
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2023 050319999 2024-09-19 PEDIATRIC ASSOCIATES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2022 050319999 2023-08-14 PEDIATRIC ASSOCIATES, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2021 050319999 2022-06-24 PEDIATRIC ASSOCIATES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2020 050319999 2021-07-16 PEDIATRIC ASSOCIATES, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2019 050319999 2020-07-27 PEDIATRIC ASSOCIATES, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2018 050319999 2019-06-12 PEDIATRIC ASSOCIATES, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2017 050319999 2018-02-06 PEDIATRIC ASSOCIATES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2016 050319999 2017-07-28 PEDIATRIC ASSOCIATES, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2015 050319999 2016-06-01 PEDIATRIC ASSOCIATES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888
PEDIATRIC ASSOCIATES, INC. PROFIT SHARING PLAN 2014 050319999 2015-04-02 PEDIATRIC ASSOCIATES, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888

Signature of
Role Plan administrator
Date 2015-04-02
Name of individual signing KIMBERLEY J TOWNSEND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/17/20140617072739P040398490611001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888

Signature of
Role Plan administrator
Date 2014-06-17
Name of individual signing KIMBERLEY J TOWNSEND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/07/20130807121154P040005733812001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1972-09-30
Business code 621111
Sponsor’s telephone number 4014386888
Plan sponsor’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050319999
Plan administrator’s name PEDIATRIC ASSOCIATES, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PARKWAY, BUILDING 10, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014386888

Signature of
Role Plan administrator
Date 2013-08-07
Name of individual signing KIMBERLEY J TOWNSEND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KIMBERLY J. TOWNSEND, MD Agent 450 VETERANS MEMORIAL PARKWAY BUILDING 10, EAST PROVIDENCE, RI, 02914, USA

TREASURER

Name Role Address
ANDREE FONTAINE HEINL MD TREASURER 450 VETERANS MEMORIAL PARKWAY #10 E PROVIDENCE, RI 02914 USA

SECRETARY

Name Role Address
GREGORY A FOX MD SECRETARY 450 VETERAN'S MEMORIAL PKWY #10 EAST PROVIDENCE, RI 02914 USA

PRESIDENT

Name Role Address
KIMBERLEY J TOWNSEND MD PRESIDENT 450 VETERANS MEMORIAL PARKWAY #10 EAST PROVIDENCE, RI 02914- USA

VICE PRESIDENT

Name Role Address
ROBERT THOMAS GRIFFITH MD VICE PRESIDENT 450 VETERANS MEMORIAL PARKWAY E PROVIDENCE, RI 02914 USA

ASSISTANT SECRETARY

Name Role Address
ALEXANDRA ELIZABETH LABOVITZ MD ASSISTANT SECRETARY 450 VETERANS MEMORIAL PKWY #10 EAST PROVIDENCE, RI 02914 USA

Filings

Number Name File Date
202445160080 Annual Report 2024-02-01
202327170570 Annual Report 2023-02-01
202207965380 Annual Report 2022-01-14
202184357860 Annual Report 2021-01-05
202030912500 Annual Report 2020-01-01
201983480780 Annual Report 2019-01-01
201855556140 Annual Report 2018-01-02
201729307360 Annual Report 2017-01-01
201689955690 Annual Report 2016-01-04
201552584860 Annual Report 2015-01-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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