| Name: | Dominick Zangari, Jr., MD, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Aug 1994 (30 years ago) |
| Identification Number: | 000080781 |
| ZIP code: | 02885 |
| County: | Bristol County |
| Principal Address: | 386 MARKET ST, WARREN, RI, 02885-1627, USA |
| Purpose: | TO ENGAGE IN RENDERING PROFESSIONAL OPHTHALMOLOGIC SERVICES. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558508309 | 2009-01-15 | 2010-03-02 | 386 MARKET ST, WARREN, RI, 028851627, US | 386 MARKET ST, WARREN, RI, 028851627, US | |||||||||||||||||||||||||||||||
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| Phone | +1 401-289-2929 |
| Fax | 4012892939 |
Authorized person
| Name | DOMINICK ZANGARI JR. |
| Role | PRESIDENT |
| Phone | 4012892929 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | 8175 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ID |
| Number | 189020120 |
| State | RI |
| Issuer | MEDICAID |
| Number | 9020120 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOMINICK ZANGARI JR MD INC 401 K PROFIT SHARING PLAN TRUST | 2017 | 050479711 | 2018-07-13 | DOMINICK ZANGARI JR MD INC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-07-13 |
| Name of individual signing | DOMINICK ZANGARI JR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4012892929 |
| Plan sponsor’s address | 386 MARKET ST, WARREN, RI, 02885 |
Signature of
| Role | Plan administrator |
| Date | 2017-06-30 |
| Name of individual signing | DOMINICK ZANGARI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4012892929 |
| Plan sponsor’s address | 386 MARKET ST, WARREN, RI, 02885 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-22 |
| Name of individual signing | DOMINICK ZANGARI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KIMBERLY L. O'BRIEN, ESQ. | Agent | 86 FALCON RIDGE DRIVE, EXETER, RI, 02822, USA |
| Name | Role | Address |
|---|---|---|
| DOMINICK ZANGARI JR, MD | PRESIDENT | 386 MARKET STREET WARREN, RI 02885 USA |
| Name | Role | Address |
|---|---|---|
| DOMINICK ZANGARI | OTHER OFFICER | 386 MARKET ST WARREN, RI 02885-1627 UNI |
| Number | Name | File Date |
|---|---|---|
| 202445514270 | Annual Report | 2024-02-05 |
| 202334208750 | Annual Report | 2023-04-27 |
| 202213937180 | Annual Report | 2022-04-05 |
| 202187414380 | Annual Report | 2021-01-20 |
| 202031960140 | Annual Report | 2020-01-12 |
| 201988088990 | Annual Report | 2019-03-04 |
| 201857478710 | Annual Report | 2018-02-04 |
| 201734774740 | Annual Report | 2017-02-27 |
| 201692091220 | Annual Report | 2016-02-08 |
| 201451095250 | Annual Report | 2014-12-11 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
