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  5. ENT and ALLERGY, INC.

ENT and ALLERGY, INC.

Company Details

Name: ENT and ALLERGY, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 22 Mar 1995 (30 years ago)
Identification Number: 000083580
ZIP code: 02886
County: Kent County
Principal Address: 3520 POST ROAD, WARWICK, RI, 02886, USA
Purpose: PHYSICIANS SPECIALIZING IN EAR NOSE AND THROAT ILLNESS
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: Voice Center RI (trading name, 2019-01-09 - )
Voice Center of Rhode Island (trading name, 2019-01-09 - )
The Sinus Institute of Rhode Island (trading name, 2017-09-21 - )
The ENT Institute (trading name, 2011-01-28 - )
The Ear, Nose, Throat and Allergy Institute (trading name, 2011-01-28 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619024130 2007-01-05 2022-07-21 3520 POST RD, WARWICK, RI, 028867140, US 3520 POST RD, WARWICK, RI, 028867140, US

Contacts
Phone +1 401-921-5800
Fax 4019212891

Authorized person
Name DR. CHARLES S FABER
Role OWNER AND PROVIDER
Phone 4017850976

Taxonomy
Taxonomy Code 207Y00000X - Otolaryngology Physician
State RI
Is Primary Yes

Other Provider Identifiers
Issuer BLUESHIELD
Number 0000002640
State RI
Issuer MEDICAID
Number 9002640
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2023 050483470 2024-10-14 ENT AND ALLERGY, INC. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215825
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2022 050483470 2023-07-17 ENT AND ALLERGY, INC. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215825
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2021 050483470 2022-09-08 ENT AND ALLERGY, INC. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215800
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2020 050483470 2021-07-08 ENT AND ALLERGY, INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215800
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2019 050483470 2020-10-13 ENT AND ALLERGY, INC. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215800
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2018 050483470 2019-07-29 ENT AND ALLERGY, INC. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215800
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2017 050483470 2018-06-06 ENT AND ALLERGY, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215800
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2016 050483470 2017-07-26 ENT AND ALLERGY, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215800
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2015 050483470 2016-10-13 ENT AND ALLERGY, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019215800
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
ENT AND ALLERGY, INC. PROFIT SHARING PLAN 2014 050483470 2015-10-08 ENT AND ALLERGY, INC. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 4019215825
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050483470
Plan administrator’s name ENT AND ALLERGY, INC.
Plan administrator’s address 3520 POST ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4019215825

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing CHARLES S. FABER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730195751P030025151629001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 4019215825
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050483470
Plan administrator’s name ENT AND ALLERGY, INC.
Plan administrator’s address 3520 POST ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4019215825

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing CHARLES S. FABER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/11/20130411205943P030059288869001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 4019215825
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050483470
Plan administrator’s name ENT AND ALLERGY, INC.
Plan administrator’s address 3520 POST ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4019215825

Signature of
Role Plan administrator
Date 2013-04-11
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/27/20120627105349P030002272535001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 4019215825
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050483470
Plan administrator’s name ENT AND ALLERGY, INC.
Plan administrator’s address 3520 POST ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4019215825

Signature of
Role Plan administrator
Date 2012-06-27
Name of individual signing MARK ANDREOZZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/20/20110920062927P030133470705001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 4019215825
Plan sponsor’s address 3520 POST ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050483470
Plan administrator’s name ENT AND ALLERGY, INC.
Plan administrator’s address 3520 POST ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4019215825

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing CHARLES S. FABER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHACE RUTTENBERG & FREEDMAN, LLP Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
MARK P ANDREOZZI PRESIDENT 3520 POST ROAD WARWICK, RI 02886 USA

TREASURER

Name Role Address
BARBARA GUILLETTE TREASURER 3520 POST ROAD WARWICK, RI 02886 USA

SECRETARY

Name Role Address
MARK P ANDREOZZI SECRETARY 3520 POST ROAD WARWICK, RI 02886 USA

VICE PRESIDENT

Name Role Address
MARK P ANDREOZZI VICE PRESIDENT 3520 POST ROAD WARWICK, RI 02886 USA

Filings

Number Name File Date
202455031080 Annual Report 2024-05-30
202338943990 Annual Report 2023-06-30
202338023700 Revocation Notice For Failure to File An Annual Report 2023-06-19
202221814020 Annual Report 2022-08-01
202220030520 Revocation Notice For Failure to File An Annual Report 2022-06-27
202194681070 Annual Report 2021-03-18
202048229940 Statement of Change of Registered/Resident Agent 2020-08-13
202036856330 Annual Report 2020-03-27
201987473850 Annual Report 2019-02-25
201984069920 Fictitious Business Name Statement 2019-01-09

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Related by address

3520 POST ROAD, WARWICK, RI, 02886, USA

PHYSICIANS HEARING SOLUTIONS, LLC

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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