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JOHN A. PELLA, M.D., LTD.

Company Details

Name: JOHN A. PELLA, M.D., LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 12 Oct 1979 (46 years ago)
Date of Dissolution: 16 Apr 2015 (10 years ago)
Date of Status Change: 16 Apr 2015 (10 years ago)
Identification Number: 000016560
ZIP code: 02920
County: Providence County
Purpose: PRACTICE OF MEDICINE
Principal Address: Google Maps Logo 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA

Agent

Name Role Address
EVERETT PETRONIO, JR. ESQ. Agent 931 JEFFERSON BOULEVARD SUITE 2004, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
JOHN A PELLA MD PRESIDENT 1150 RESERVOIR AVE CRANSTON, RI 02920 USA

National Provider Identifier

NPI Number:
1558676551

Authorized Person:

Name:
JOHN A PELLA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
4019444680

Form 5500 Series

Employer Identification Number (EIN):
050384123
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Number Name File Date
201560993850 Annual Report 2015-04-16
201560995520 Articles of Dissolution 2015-04-16
201440212660 Annual Report 2014-05-30
201439382150 Revocation Notice For Failure to File An Annual Report 2014-05-20
201312520150 Annual Report 2013-02-24

Date of last update: 17 May 2025

Sources: Rhode Island Department of State