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  5. Associates In Primary Care Medicine, Inc.

Associates In Primary Care Medicine, Inc.

Company Details

Name: Associates In Primary Care Medicine, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 29 Apr 1974 (51 years ago)
Date of Dissolution: 29 Jul 2021 (3 years ago)
Date of Status Change: 29 Jul 2021 (3 years ago)
Identification Number: 000021197
ZIP code: 02888
County: Kent County
Principal Address: 857 POST ROAD, WARWICK, RI, 02888, USA
Purpose: TO RENDER PROFESSIONAL SERVICE BY PERSONS AUTHORIZED TO PRACTICE MEDICINE, OSTEOPATHY AND SURGERY
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Historical names: JACK M. FIREMAN, D.O., LTD.
POST ROAD MEDICAL GROUP, LTD.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821277427 2007-10-31 2011-12-20 857 POST RD, WARWICK, RI, 028883360, US 857 POST RD, WARWICK, RI, 028883360, US

Contacts
Phone +1 401-467-3115
Fax 4014679120

Authorized person
Name MARTIN J KERZER
Role OWNER
Phone 4014673115

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number DO00303
State RI
Is Primary Yes
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number MD11053
State RI
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
License Number NPP37217
State RI
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
License Number NPP37523
State RI
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 9003198
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 401(K) RETIREMENT PLAN 2019 050355799 2020-11-02 ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4014673115
Plan sponsor’s address 857 POST ROAD, WARWICK, RI, 02888
ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 401(K) RETIREMENT PLAN 2019 050355799 2020-04-15 ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4014673115
Plan sponsor’s address 857 POST ROAD, WARWICK, RI, 02888
ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 401(K) RETIREMENT PLAN 2018 050355799 2019-06-26 ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4014673115
Plan sponsor’s address 857 POST ROAD, WARWICK, RI, 02888
ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 401(K) RETIREMENT PLAN 2017 050355799 2018-06-26 ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4014673115
Plan sponsor’s address 857 POST ROAD, WARWICK, RI, 02888
ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 401(K) RETIREMENT PLAN 2016 050355799 2017-06-13 ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4014673115
Plan sponsor’s address 857 POST ROAD, WARWICK, RI, 02888
ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 401(K) RETIREMENT PLAN 2015 050355799 2016-07-07 ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4014673115
Plan sponsor’s address 857 POST ROAD, WARWICK, RI, 02888
ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 401(K) RETIREMENT PLAN 2014 050355799 2015-07-27 ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4014673115
Plan sponsor’s address 857 POST ROAD, WARWICK, RI, 02888

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing MARTIN KERZER
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 401(K) RETIREMENT PLAN 2013 050355799 2014-10-14 ASSOCIATES IN PRIMARY CARE MEDICINE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4014673115
Plan sponsor’s address 857 POST ROAD, WARWICK, RI, 02888

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing MARTIN KERZER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARTIN J. KERZER, D.O. Agent 857 POST ROAD, WARWICK, RI, 02888, USA

PRESIDENT

Name Role Address
MARTIN J KERZER DO PRESIDENT 857 POST ROAD WARWICK, RI 02888 USA

VICE PRESIDENT

Name Role Address
GREGORY J STEINMETZ DR VICE PRESIDENT 857 POST ROAD WARWICK, RI 0288 USA

Events

Type Date Old Value New Value
Name Change 1995-10-02 POST ROAD MEDICAL GROUP, LTD. Associates In Primary Care Medicine, Inc.
Name Change 1983-08-17 JACK M. FIREMAN, D.O., LTD. POST ROAD MEDICAL GROUP, LTD.

Filings

Number Name File Date
202199626670 Revocation Certificate For Failure to File the Annual Report for the Year 2021-07-29
202196735410 Revocation Notice For Failure to File An Annual Report 2021-05-19
201930765650 Annual Report 2019-12-28
201983540420 Annual Report 2019-01-02
201755485090 Annual Report 2017-12-30
201748406310 Annual Report 2017-08-11
201747697070 Revocation Notice For Failure to File An Annual Report 2017-07-27
201693521780 Annual Report 2016-03-01
201556742770 Annual Report 2015-03-09
201436461920 Annual Report 2014-02-28

Related by officers

No related officers

Related by address

857 POST ROAD, WARWICK, RI, 02888, USA

KERZER ASSOCIATES LLC Karadelray, LLC

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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