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  5. Northeast Orthotics and Prosthetics, Inc.

Northeast Orthotics and Prosthetics, Inc.

Company Details

Name: Northeast Orthotics and Prosthetics, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 21 Nov 1984 (40 years ago)
Identification Number: 000032554
ZIP code: 02905
County: Providence County
Principal Address: 2 DUDLEY STREET SUITE 161, PROVIDENCE, RI, 02905, USA
Purpose: MEDICAL BRACES AND ARTIFICIAL LIMBS
NAICS: 621399 - Offices of All Other Miscellaneous Health Practitioners
Historical names: NORTHEAST ORTHOTICS and PROSTHESTICS, INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356343651 2005-06-01 2008-07-02 2 DUDLEY ST, STE 161, PROVIDENCE, RI, 029053236, US 2 DUDLEY ST, STE 161, PROVIDENCE, RI, 029053236, US

Contacts
Phone +1 401-444-5477
Fax 4014444237

Authorized person
Name MR. MARK S MARICH
Role PRESIDENT
Phone 4014445477

Taxonomy
Taxonomy Code 335E00000X - Prosthetic/Orthotic Supplier
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 9009539
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2023 050411146 2024-09-05 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2024-09-05
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2022 050411146 2023-07-12 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2023-07-12
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2021 050411146 2022-08-31 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2022-08-31
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2020 050411146 2021-08-12 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2021-08-12
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2019 050411146 2020-08-12 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2020-08-12
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2018 050411146 2019-06-13 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2019-06-13
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2017 050411146 2018-08-08 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2018-08-08
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2016 050411146 2017-07-06 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2015 050411146 2017-05-17 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
NORTHEAST ORTHOTICS & PROSTHETICS, INC. RETIREMENT PLAN 2015 050411146 2016-08-12 NORTHEAST ORTHOTICS AND PROSTHETICS INC. 10
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, STE 250, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2016-08-12
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/16/20150716135859P030099960231001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4012288485
Plan sponsor’s address 765 ALLENS AVENUE, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/08/20140508090907P030109519061001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4014445477
Plan sponsor’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2014-05-08
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/11/15/20121115061026P040006476212001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4014445477
Plan sponsor’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050411146
Plan administrator’s name NORTHEAST ORTHOTICS AND PROSTHETICS INC.
Plan administrator’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014445477

Signature of
Role Plan administrator
Date 2012-11-15
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/11/15/20111115143338P030001999959001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4014445477
Plan sponsor’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050411146
Plan administrator’s name NORTHEAST ORTHOTICS AND PROSTHETICS INC.
Plan administrator’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014445477

Signature of
Role Plan administrator
Date 2011-11-15
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/11/16/20101116094659P040003984513001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4014445477
Plan sponsor’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050411146
Plan administrator’s name NORTHEAST ORTHOTICS AND PROSTHETICS INC.
Plan administrator’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014445477

Signature of
Role Plan administrator
Date 2010-11-16
Name of individual signing MARK MARICH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 326100
Sponsor’s telephone number 4014445477
Plan sponsor’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050411146
Plan administrator’s name NORTHEAST ORTHOTICS AND PROSTHETICS INC.
Plan administrator’s address 2 DUDLEY STREET CO-OP 1, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014445477

Signature of
Role Employer/plan sponsor
Date 2010-11-12
Name of individual signing MARK MARICH, CPO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SARAH MARICH Agent 2 DUDLEY STREET SUITE 161 CO-OP 1, PROVIDENCE, RI, 02905, USA

PRESIDENT

Name Role Address
MARK S MARICH PRESIDENT 58 BLACK ROCK DR HINGHAM, MA 02043 USA

Events

Type Date Old Value New Value
Name Change 2004-09-23 NORTHEAST ORTHOTICS and PROSTHESTICS, INC. Northeast Orthotics and Prosthetics, Inc.

Filings

Number Name File Date
202444693930 Annual Report 2024-01-25
202328356540 Annual Report 2023-02-14
202208090180 Annual Report 2022-01-18
202185902780 Annual Report 2021-01-12
202033778310 Annual Report 2020-02-05
201984971160 Annual Report 2019-01-23
201856650810 Annual Report 2018-01-23
201729774450 Annual Report 2017-01-10
201690484600 Annual Report 2016-01-13
201554525870 Annual Report 2015-02-03

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 36C24124P0320 2024-03-21 2024-05-13 2024-05-13
Unique Award Key CONT_AWD_36C24124P0320_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 16571.95
Current Award Amount 16571.95
Potential Award Amount 16571.95

Description
Title ARTIFICIAL LIMBS
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient NORTHEAST ORTHOTICS AND PROSTHETICS, INC.
UEI G2MTB31NTRF6
Recipient Address UNITED STATES, 2 DUDLEY ST., PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02905-3209

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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