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  5. BROWN NEUROLOGY

BROWN NEUROLOGY

Company Details

Name: BROWN NEUROLOGY
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Aug 1989 (35 years ago)
Identification Number: 000057275
ZIP code: 02903
County: Providence County
Principal Address: 593 EDDY STREET APC 5, PROVIDENCE, RI, 02903, USA
Purpose: PRACTICE OF NEUROLOGY FOR PATIENTS
Historical names: THE NEUROLOGY FOUNDATION, INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366486102 2006-06-15 2018-09-24 110 ELM ST FL 1, PROVIDENCE, RI, 029034626, US 593 EDDY STREET, APC 5, PROVIDENCE, RI, 02903, US

Contacts
Phone +1 401-444-7016
Fax 4014443205
Phone +1 401-444-3032

Authorized person
Name FELICIA M CATALLOZZI
Role ADMINISTRATOR
Phone 4014446478

Taxonomy
Taxonomy Code 2084N0400X - Neurology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number NF07469
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROWN NEUROLOGY 401(K)RETIREMENT PLAN 2021 050448314 2022-05-26 BROWN NEUROLOGY 76
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014446478
Plan sponsor’s address 593 EDDY STREET, APC5, PROVIDENCE, RI, 02903
BROWN NEUROLOGY 401(K)RETIREMENT PLAN 2020 050448314 2021-04-15 BROWN NEUROLOGY 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014446478
Plan sponsor’s address 593 EDDY STREET, APC5, PROVIDENCE, RI, 02903
THE NEUROLOGY FOUNDATION, INC. 401(K) RETIREMENT PLAN 2019 050448314 2020-06-30 BROWN NEUROLOGY 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
THE NEUROLOGY FOUNDATION, INC. 401(K) RETIREMENT PLAN 2018 050448314 2019-01-30 THE NEUROLOGY FOUNDATION, INC. 74
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
THE NEUROLOGY FOUNDATION, INC. 401(K) RETIREMENT PLAN 2017 050448314 2018-06-12 THE NEUROLOGY FOUNDATION, INC. 72
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
THE NEUROLOGY FOUNDATION, INC. 401(K) RETIREMENT PLAN 2016 050448314 2017-05-25 THE NEUROLOGY FOUNDATION, INC. 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
THE NEUROLOGY FOUNDATION, INC. 401(K) RETIREMENT PLAN 2015 050448314 2016-09-26 THE NEUROLOGY FOUNDATION, INC. 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
THE NEUROLOGY FOUNDATION, INC. 401(K) RETIREMENT PLAN 2014 050448314 2015-10-06 THE NEUROLOGY FOUNDATION, INC. 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050448314
Plan administrator’s name THE NEUROLOGY FOUNDATION, INC.
Plan administrator’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014447836

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing DAVID MANDELBAUM, MD, PHD
Valid signature Filed with authorized/valid electronic signature
THE NEUROLOGY FOUNDATION, INC. 401(K) RETIREMENT PLAN 2013 050448314 2014-10-24 THE NEUROLOGY FOUNDATION, INC. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050448314
Plan administrator’s name THE NEUROLOGY FOUNDATION, INC.
Plan administrator’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014447836

Signature of
Role Plan administrator
Date 2014-10-24
Name of individual signing SYED RIZVI, MD
Valid signature Filed with authorized/valid electronic signature
THE NEUROLOGY FOUNDATION, INC. 401(K) RETIREMENT PLAN 2013 050448314 2014-10-03 THE NEUROLOGY FOUNDATION, INC. 61
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050448314
Plan administrator’s name THE NEUROLOGY FOUNDATION, INC.
Plan administrator’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014447836

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing SYED RIZVI, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/02/20131002131936P030007837637001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050448314
Plan administrator’s name THE NEUROLOGY FOUNDATION, INC.
Plan administrator’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014447836

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing SYED RIZVI, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015161841P030001427957001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050448314
Plan administrator’s name THE NEUROLOGY FOUNDATION, INC.
Plan administrator’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014447836

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing SYED RIZVI, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/14/20111014210323P040153146881001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050448314
Plan administrator’s name THE NEUROLOGY FOUNDATION, INC.
Plan administrator’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014447836

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing SYED RIZVI, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/08/20101008160947P030005726322001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014447836
Plan sponsor’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050448314
Plan administrator’s name THE NEUROLOGY FOUNDATION, INC.
Plan administrator’s address 34 PARSONAGE STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014447836

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing SYED RIZVI, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN W. WOLFE, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
KAREN FURIE, MD PRESIDENT 593 EDDY STREET, APC 5 PROVIDENCE, RI 02903 USA

TREASURER

Name Role Address
SYED RIZVI, MD TREASURER 593 EDDY STREET, APC 5 PROVIDENCE, RI 02903 USA

SECRETARY

Name Role Address
JONATHAN CAHILL SECRETARY 593 EDDY STREET, APC 5 PROVIDENCE, RI 02903 USA

DIRECTOR

Name Role Address
JONATHAN CAHILL DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
SASMIT SARANGI DIRECTOR 593 EDDY STREET, APC 5 PROVIDENCE, RI 02903 USA
RODERICK SPEARS DIRECTOR 593 EDDY STREET APC 5 PROVIDENCE, RI 02903 USA
SYED RIZVI MD DIRECTOR 593 EDDY STREET, APC 5 PROVIDENCE, RI 02903 USA
ANDREW BLUM, MD, PHD DIRECTOR 593 EDDY STREET, APC 5 PROVIDENCE, RI 02903 USA
TINA BURTON MD DIRECTOR 593 EDDY STREET, APC 5 PROVIDENCE, RI 02903 USA

Events

Type Date Old Value New Value
Name Change 2018-06-01 THE NEUROLOGY FOUNDATION, INC. BROWN NEUROLOGY

Filings

Number Name File Date
202446892250 Annual Report 2024-02-20
202330900090 Annual Report 2023-03-15
202215077370 Annual Report 2022-04-19
202207769500 Statement of Change of Registered/Resident Agent 2022-01-10
202199612880 Annual Report 2021-07-29
202045976540 Annual Report 2020-07-22
202033905310 Annual Report - Amended 2020-02-06
202033682860 Statement of Change of Registered/Resident Agent 2020-02-04
202033477790 Annual Report 2020-01-31
201929716520 Revocation Notice For Failure to File An Annual Report 2019-12-11

Related by officers

JOHN W. WOLFE, ESQ.

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Related by address

No related companies by address

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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