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  5. ENT Associates of Westerly, Ltd.

ENT Associates of Westerly, Ltd.

Headquarter

Company Details

Name: ENT Associates of Westerly, Ltd.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Jun 1976 (49 years ago)
Identification Number: 000018809
ZIP code: 02891
County: Washington County
Principal Address: 17 WELLS STREET STE. 201, WESTERLY, RI, 02891, USA
Purpose: MEDICAL PRACTICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Historical names: Woodworth Medical Associates, Inc.

Links between entities

Type Company Name Company Number State
Headquarter of ENT Associates of Westerly, Ltd., NEW YORK 439170 NEW YORK

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093806705 2006-09-27 2008-05-08 17 WELLS ST, STE. 201, WESTERLY, RI, 028912923, US 17 WELLS ST, STE. 201, WESTERLY, RI, 028912923, US

Contacts
Phone +1 401-596-2033
Fax 4015969294

Authorized person
Name JEFFREY FELDMAN
Role PRESIDENT
Phone 4015962033

Taxonomy
Taxonomy Code 207Y00000X - Otolaryngology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2023 112315702 2024-06-26 ENT ASSOCIATES OF WESTERLY, LTD 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2022 112315702 2023-10-11 ENT ASSOCIATES OF WESTERLY, LTD 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-11
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2021 112315702 2022-10-04 ENT ASSOCIATES OF WESTERLY, LTD 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-04
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2020 112315702 2021-08-25 ENT ASSOCIATES OF WESTERLY, LTD 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2021-08-25
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-25
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2019 112315702 2020-10-13 ENT ASSOCIATES OF WESTERLY, LTD 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2018 112315702 2019-07-10 ENT ASSOCIATES OF WESTERLY, LTD 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-10
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2017 112315702 2018-10-09 ENT ASSOCIATES OF WESTERLY, LTD 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2016 112315702 2017-09-15 ENT ASSOCIATES OF WESTERLY, LTD 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2017-09-15
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-15
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2016 112315702 2017-11-03 ENT ASSOCIATES OF WESTERLY, LTD 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2017-11-03
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-03
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
ENT ASSOCIATES OF WESTERLY, LTD PROFIT SHARING PLAN 2015 112315702 2017-11-03 ENT ASSOCIATES OF WESTERLY, LTD 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS ST, STE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2017-11-03
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-03
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/05/27/20160527084621P030094357905001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS ST, STE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-27
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/18/20150918095919P030006563863001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2015-09-18
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-18
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/08/20140808130454P040024661503001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2014-08-08
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-08
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/24/20130624092149P030267947571001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2013-06-24
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-24
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/17/20120717142036P030007262082001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 112315702
Plan administrator’s name ENT ASSOCIATES OF WESTERLY, LTD
Plan administrator’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891
Administrator’s telephone number 4015962033

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-17
Name of individual signing JEFFREY FELDMAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 112315702
Plan administrator’s name ENT ASSOCIATES OF WESTERLY, LTD
Plan administrator’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891
Administrator’s telephone number 4015962033

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing JEFFREY I. FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing JEFFREY I. FELDMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/18/20110718123607P040098531665001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 112315702
Plan administrator’s name ENT ASSOCIATES OF WESTERLY, LTD
Plan administrator’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891
Administrator’s telephone number 4015962033

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing JEFFREY I. FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing JEFFREY I. FELDMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/30/20100730171721P040100415992001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 4015962033
Plan sponsor’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 112315702
Plan administrator’s name ENT ASSOCIATES OF WESTERLY, LTD
Plan administrator’s address 17 WELLS STREET, SUITE 201, WESTERLY, RI, 02891
Administrator’s telephone number 4015962033

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing JEFFREY I FELDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KAREN TAVARES Agent 17 WELLS STREET SUITE 201, WESTERLY, RI, 02891, USA

PRESIDENT

Name Role Address
JEFFREY I FELDMAN MD PRESIDENT 165 OCEAN ROAD NARRAGANSETT, RI 02882- USA

VICE PRESIDENT

Name Role Address
DAVID S CAMERON VICE PRESIDENT 2 SEQUAN ROAD WESTERLY, RI 02891 USA

OTHER OFFICER

Name Role Address
KAREN TAVARES OTHER OFFICER 17 WELLS STREET, STE. 201 WESTERLY, RI 02891 UNI

Events

Type Date Old Value New Value
Name Change 1992-05-13 Woodworth Medical Associates, Inc. ENT Associates of Westerly, Ltd.

Filings

Number Name File Date
202454727380 Annual Report 2024-05-22
202454726950 Statement of Change of Registered/Resident Agent 2024-05-22
202449671870 Revocation Notice For Failure to Maintain a Registered Office 2024-03-28
202448700760 Registered Office Not Maintained 2024-01-03
202340372830 Annual Report 2023-08-16
202340017290 Revocation Notice For Failure to File An Annual Report 2023-07-31
202339696480 Registered Office Not Maintained 2023-07-06
202337989160 Revocation Notice For Failure to File An Annual Report 2023-06-19
202217433930 Annual Report 2022-05-17
202194711920 Annual Report 2021-03-18

Related by officers

KAREN TAVARES

PEREZ AND TAVERAS MULTISERVICIO, LLC

JEFFREY I FELDMAN MD

University E.N.T. Alliance, Inc.

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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