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  5. Allergy and Asthma Associates, Inc.

Allergy and Asthma Associates, Inc.

Company Details

Name: Allergy and Asthma Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 02 Nov 1993 (31 years ago)
Identification Number: 000074488
ZIP code: 02886
County: Kent County
Principal Address: 400 BALD HILL ROAD SUITE 527, WARWICK, RI, 02886, USA
Purpose: TO RENDER PROFESSIONAL MEDICAL SERVICES TO THE GENERAL PUBLIC.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497934350 2007-10-29 2012-02-28 400 BALD HILL RD, SUITE 527, WARWICK, RI, 028861617, US 400 BALD HILL RD, SUITE 527, WARWICK, RI, 028861617, US

Contacts
Phone +1 401-739-5901
Fax 4017398170

Authorized person
Name DR. DAVID ROBERT KATZEN
Role OWNER/PRESIDENT
Phone 4017395901

Taxonomy
Taxonomy Code 207KA0200X - Allergy Physician
License Number MD06041
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 9000465
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2023 050474497 2024-02-09 ALLERGY AND ASTHMA ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2022 050474497 2023-03-10 ALLERGY AND ASTHMA ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2021 050474497 2022-04-06 ALLERGY AND ASTHMA ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2020 050474497 2021-02-16 ALLERGY AND ASTHMA ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2019 050474497 2020-03-17 ALLERGY AND ASTHMA ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2018 050474497 2019-02-28 ALLERGY AND ASTHMA ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2018 050474497 2019-02-28 ALLERGY AND ASTHMA ASSOCIATES, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2017 050474497 2018-02-27 ALLERGY AND ASTHMA ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2016 050474497 2017-02-21 ALLERGY AND ASTHMA ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050474497
Plan administrator’s name ALLERGY AND ASTHMA ASSOCIATES, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
Administrator’s telephone number 4017395901
ALLERGY AND ASTHMA ASSOCIATES, INC. PROFIT SHARING PLAN 2015 050474497 2016-03-10 ALLERGY AND ASTHMA ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050474497
Plan administrator’s name ALLERGY AND ASTHMA ASSOCIATES, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
Administrator’s telephone number 4017395901
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/02/21/20150221125134P040133338513001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050474497
Plan administrator’s name ALLERGY AND ASTHMA ASSOCIATES, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
Administrator’s telephone number 4017395901

Signature of
Role Plan administrator
Date 2015-02-21
Name of individual signing DAVID KATZEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/14/20140514094746P040345136611001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050474497
Plan administrator’s name ALLERGY AND ASTHMA ASSOCIATES, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
Administrator’s telephone number 4017395901

Signature of
Role Plan administrator
Date 2014-05-14
Name of individual signing DAVID KATZEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/12/20130612171451P040089846181001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050474497
Plan administrator’s name ALLERGY AND ASTHMA ASSOCIATES, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
Administrator’s telephone number 4017395901

Signature of
Role Plan administrator
Date 2013-06-12
Name of individual signing DAVID KATZEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/10/20120410112111P040065797505001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050474497
Plan administrator’s name ALLERGY AND ASTHMA ASSOCIATES, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
Administrator’s telephone number 4017395901

Signature of
Role Plan administrator
Date 2012-04-10
Name of individual signing DAVID KATZEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/16/20110516110643P040019256167001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050474497
Plan administrator’s name ALLERGY AND ASTHMA ASSOCIATES, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
Administrator’s telephone number 4017395901

Signature of
Role Plan administrator
Date 2011-05-16
Name of individual signing DAVID KATZEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/12/20100712144705P030369517889001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4017395901
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050474497
Plan administrator’s name ALLERGY AND ASTHMA ASSOCIATES, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 527, WARWICK, RI, 02886
Administrator’s telephone number 4017395901

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing DAVID KATZEN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CARL I. FREEDMAN, ESQ. Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
DAVID R KATZEN TREASURER 400 BALD HILL ROAD WARWICK, RI 02886 USA

SECRETARY

Name Role Address
DAVID R KATZEN SECRETARY 400 BALD HILL ROAD WARWICK, RI 02886 USA

PRESIDENT

Name Role Address
DAVID R KATZEN PRESIDENT 400 BALD HILL ROAD WARWICK, RI 02886- USA

Filings

Number Name File Date
202453583950 Annual Report 2024-05-01
202330794860 Annual Report 2023-03-14
202209309920 Annual Report 2022-02-03
202188218130 Annual Report 2021-01-29
202033053750 Annual Report 2020-01-27
201986743440 Annual Report 2019-02-15
201755212560 Annual Report 2018-02-23
201729356250 Annual Report 2017-02-01
201691254860 Annual Report 2016-01-26
201451053160 Annual Report 2015-01-28

Related by officers

CARL I. FREEDMAN, 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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