| Name: | TOLL GATE PEDIATRICS, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 27 Jul 1993 (31 years ago) |
| Date of Dissolution: | 11 Jul 2013 (12 years ago) |
| Date of Status Change: | 11 Jul 2013 (12 years ago) |
| Identification Number: | 000073384 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 176 TOLL GATE ROAD SUITE 101, WARWICK, RI, 02886, USA |
| Purpose: | TO RENDER PROFESSIONAL MEDICAL SERVICES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184766008 | 2007-02-14 | 2020-08-22 | 215 TOLL GATE RD, SUITE 104, WARWICK, RI, 028864458, US | 215 TOLL GATE RD, SUITE 104, WARWICK, RI, 028864458, US | |||||||||||||||||||||
|
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| Phone | +1 401-737-9240 |
| Fax | 4017396413 |
Authorized person
| Name | DR. DAVID J HUNT |
| Role | PRESIDENT |
| Phone | 4017379240 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 58379 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DAVID J. HUNT | Agent | 176 TOLL GATE ROAD SUITE 101, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| ALLYSON D HICKS MD | TREASURER | 1289 SOUTH ROAD EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| RAYMOND P ZARLENGO MD | SECRETARY | 82 LOCUST VALLEY ROAD EXETER, RI 02822 USA |
| Name | Role | Address |
|---|---|---|
| DAVID J HUNT DO | PRESIDENT | 35 PINE TREE LANE WEST GREENWICH, RI 02817 USA |
| Name | Role | Address |
|---|---|---|
| MAHA AMMAR MD | VICE PRESIDENT | 75 FALCON CIRCLE EAST GREENWICH, RI 02818 USA |
| ROGER MENNILLO MD | VICE PRESIDENT | 9 RIDGEWOOD ROAD BARRINGTON, RI 02816 USA |
| Name | Role | Address |
|---|---|---|
| ALLYSON D HICKS MD | DIRECTOR | 1289 SOUTH ROAD EAST GREENWICH, RI 02818 USA |
| DAVID J HUNT DO | DIRECTOR | 35 PINE TREE LANE WEST GREENWICH, RI 02817 USA |
| MAHA AMMAR MD | DIRECTOR | 75 FALCON CIRCLE EAST GREENWICH, RI 02818 USA |
| RAYMOND P ZARLENGO MD | DIRECTOR | 82 LOCUST VALLEY ROAD EXETER, RI 02882 USA |
| ROGER MENNILLO MD | DIRECTOR | 9 RIDGEWOOD ROAD BARRINGTON, RI 02816 USA |
| Number | Name | File Date |
|---|---|---|
| 201325821530 | Articles of Dissolution | 2013-07-11 |
| 201314230390 | Statement of Change of Registered/Resident Agent | 2013-03-21 |
| 201313834940 | Miscellaneous Filing (No Fee) | 2013-03-13 |
| 201313611640 | Annual Report | 2013-03-07 |
| 201307969830 | Revocation Notice For Failure to Maintain a Registered Office | 2013-01-08 |
| 201307951240 | Registered Office Not Maintained | 2012-12-19 |
| 201291002050 | Annual Report | 2012-03-16 |
| 201176162260 | Annual Report | 2011-03-01 |
| 201057643530 | Annual Report | 2010-02-02 |
| 200942778270 | Annual Report | 2009-02-19 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
