| Name: | COPPOLA MEDICAL ASSOCIATES, LTD. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 05 Jun 1991 (34 years ago) |
| Date of Dissolution: | 11 Dec 2020 (4 years ago) |
| Date of Status Change: | 11 Dec 2020 (4 years ago) |
| Identification Number: | 000064514 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 174 ARMISTICE BOULEVARD SUITE C, PAWTUCKET, RI, 02860, USA |
| Purpose: | MEDICAL PRACTICE |
| Historical names: |
NORTHEAST MEDICAL ASSOCIATES, LTD. Coppola & D |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386815892 | 2008-03-13 | 2011-03-30 | 174 ARMISTICE BLVD STE C, PAWTUCKET, RI, 028603269, US | 174 ARMISTICE BLVD STE C, PAWTUCKET, RI, 028603269, US | |||||||||||||||||||
|
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| Phone | +1 401-725-3520 |
| Fax | 4017253548 |
Authorized person
| Name | DR. JOYCE COPPOLA |
| Role | PHYSICIAN |
| Phone | 4017253520 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | MD7964 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAM G. SAVASTANO, ESQ. | Agent | 117 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI, 02896, USA |
| Name | Role | Address |
|---|---|---|
| DR. JOYCE COPPOLA | PRESIDENT | 124 PARKSIDE DRIVE PAWTUCKET, RI 02860 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2002-04-16 | Coppola & D | COPPOLA MEDICAL ASSOCIATES, LTD. |
| Name Change | 1995-05-23 | NORTHEAST MEDICAL ASSOCIATES, LTD. | Coppola & D |
| Number | Name | File Date |
|---|---|---|
| 202079502890 | Articles of Dissolution | 2020-12-11 |
| 202036533790 | Annual Report | 2020-03-18 |
| 201988654140 | Annual Report | 2019-03-14 |
| 201855745760 | Annual Report | 2018-01-08 |
| 201744065250 | Annual Report | 2017-06-02 |
| 201689935890 | Annual Report | 2016-01-03 |
| 201572406490 | Annual Report | 2015-08-06 |
| 201564631190 | Revocation Notice For Failure to File An Annual Report | 2015-07-09 |
| 201432988520 | Annual Report | 2014-01-14 |
| 201314538540 | Annual Report | 2013-03-28 |
Date of last update: 08 Apr 2025
Sources: Rhode Island Department of State
