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  5. RADIATION ONCOLOGY ASSOCIATES, INC.

RADIATION ONCOLOGY ASSOCIATES, INC.

Company Details

Name: RADIATION ONCOLOGY ASSOCIATES, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 08 Dec 1983 (41 years ago)
Identification Number: 000017135
ZIP code: 02904
County: Providence County
Principal Address: 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904, USA
Purpose: RADIATION THERAPY
Fictitious names: NorthMain Radiation Oncology (trading name, 2005-06-01 - )
Historical names: MUTUAL REALTY ASSOCIATES, INC.

Industry & Business Activity

NAICS

334517 Irradiation Apparatus Manufacturing

This U.S. industry comprises establishments primarily engaged in manufacturing irradiation apparatus and tubes for applications, such as medical diagnostic, medical therapeutic, industrial, research and scientific evaluation. Irradiation can take the form of beta-rays, gamma-rays, X-rays, or other ionizing radiation. Learn more at the U.S. Census Bureau

Companies doing Irradiation apparatus manufacturing

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376546267 2005-05-24 2021-06-10 825 N MAIN ST, PROVIDENCE, RI, 029045707, US 825 N MAIN ST, PROVIDENCE, RI, 029045707, US

Contacts
Phone +1 401-521-9700
Fax 4017511686

Authorized person
Name DR. NICKLAS E. OLDENBURG
Role PRESIDENT
Phone 4015219700

Taxonomy
Taxonomy Code 2085R0001X - Radiation Oncology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 9000233
State RI
Issuer RR MEDICARE
Number CE6091
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2023 050407378 2024-04-02 RADIATION ONCOLOGY ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2024-04-02
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2022 050407378 2023-05-05 RADIATION ONCOLOGY ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2023-05-05
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2021 050407378 2022-10-13 RADIATION ONCOLOGY ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2020 050407378 2021-07-22 RADIATION ONCOLOGY ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2019 050407378 2020-07-22 RADIATION ONCOLOGY ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2018 050407378 2019-09-19 RADIATION ONCOLOGY ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2017 050407378 2018-08-27 RADIATION ONCOLOGY ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2018-08-27
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2016 050407378 2017-05-17 RADIATION ONCOLOGY ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050407378
Plan administrator’s name RADIATION ONCOLOGY ASSOCIATES, INC.
Plan administrator’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4015219700

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2015 050407378 2016-10-14 RADIATION ONCOLOGY ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050407378
Plan administrator’s name RADIATION ONCOLOGY ASSOCIATES, INC.
Plan administrator’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4015219700

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
RADIATION ONCOLOGY ASSOCIATES, INC. 401(K)PROFIT SHARING PLAN 2014 050407378 2015-07-24 RADIATION ONCOLOGY ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050407378
Plan administrator’s name RADIATION ONCOLOGY ASSOCIATES, INC.
Plan administrator’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4015219700

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728125232P030060440775001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050407378
Plan administrator’s name RADIATION ONCOLOGY ASSOCIATES, INC.
Plan administrator’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4015219700

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/02/20131002140535P040016518899001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050407378
Plan administrator’s name RADIATION ONCOLOGY ASSOCIATES, INC.
Plan administrator’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4015219700

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/21/20120821155604P030098492576001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050407378
Plan administrator’s name RADIATION ONCOLOGY ASSOCIATES, INC.
Plan administrator’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4015219700

Signature of
Role Plan administrator
Date 2012-08-21
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/26/20110626134755P040012530274001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 029045707

Plan administrator’s name and address
Administrator’s EIN 050407378
Plan administrator’s name RADIATION ONCOLOGY ASSOCIATES, INC.
Plan administrator’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 029045707
Administrator’s telephone number 4015219700

Signature of
Role Plan administrator
Date 2011-06-26
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/30/20100830095812P030020933461001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-11-01
Business code 621111
Sponsor’s telephone number 4015219700
Plan sponsor’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 029045707

Plan administrator’s name and address
Administrator’s EIN 050407378
Plan administrator’s name RADIATION ONCOLOGY ASSOCIATES, INC.
Plan administrator’s address 825 NORTH MAIN STREET, PROVIDENCE, RI, 029045707
Administrator’s telephone number 4015219700

Signature of
Role Plan administrator
Date 2010-08-30
Name of individual signing NICKLAS OLDENBURG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
E. COLBY CAMERON, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

DIRECTOR, PRESIDENT

Name Role Address
NICKLAS B.E. OLDENBURG MD DIRECTOR, PRESIDENT 825 NORTH MAIN STREET PROVIDENCE, RI 02904 USA

DIRECTOR, VICE PRESIDENT AND TREASURER

Name Role Address
STEVEN C. LANE MD DIRECTOR, VICE PRESIDENT AND TREASURER 825 NORTH MAIN STREET PROVIDENCE, RI 02904 USA

Events

Type Date Old Value New Value
Name Change 1983-12-08 MUTUAL REALTY ASSOCIATES, INC. RADIATION ONCOLOGY ASSOCIATES, INC.

Filings

Number Name File Date
202446835950 Annual Report 2024-02-20
202330862280 Annual Report 2023-03-15
202213757210 Annual Report 2022-03-30
202193669330 Annual Report 2021-03-05
202035032780 Annual Report 2020-02-20
201986455550 Annual Report 2019-02-12
201881552390 Annual Report - Amended 2018-11-20
201859874790 Annual Report 2018-03-08
201738028740 Annual Report 2017-03-15
201693460070 Annual Report 2016-02-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8111947102 2020-04-15 0165 PPP 825 North Main Street, Providence, RI, 02904
Loan Status Date -
Loan Status Exemption 4
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 175400
Loan Approval Amount (current) 175400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Providence, PROVIDENCE, RI, 02904-1000
Project Congressional District RI-01
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 118732.67
Forgiveness Paid Date 2021-05-21

Related by officers

E. COLBY CAMERON, ESQ.

AC Holdings, Inc. The Chisholm RIP Corp. CHOQUETTE & CO., INC. CHURCH TRAVEL AGENCY, INC. Certified Automotive, Inc. Memorial X-Ray Services, Ltd. Periodontics, Inc. D. L. Thurrott RIP, Inc. Sinel, Wilfand & Vinci, Certified Public Accountants, Inc. O'NEILL MEDICAL, INC.

NICKLAS B.E. OLDENBURG MD

BEACON REALTY COMPANY, LLC

Related by address

825 NORTH MAIN STREET, PROVIDENCE, RI, 02904, USA

BEACON REALTY COMPANY, LLC

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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