| 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 (31 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)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 | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | OTHER OFFICER | 386 MARKET ST WARREN, RI 02885-1627 UNI |
| Name | Role | Address |
|---|---|---|
| DOMINICK ZANGARI | PRESIDENT | 386 MARKET ST WARREN, RI 02885 USA |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8359967101 | 2020-04-15 | 0165 | PPP | 386 MARKET ST, WARREN, RI, 02885 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
