| Name: | Rhode Island Foot Care, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Jun 1995 (30 years ago) |
| Identification Number: | 000084832 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 649 EAST AVENUE, PAWTUCKET, RI, 02860, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF PODIATRY. |
NAICS
621391 Offices of PodiatristsThis U.S. industry comprises establishments of health practitioners having the degree of D.P.M. (Doctor of Podiatric Medicine) primarily engaged in the independent practice of podiatry. These practitioners diagnose and treat diseases and deformities of the foot and 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 | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134242472 | 2007-04-10 | 2009-11-20 | 649 EAST AVE, PAWTUCKET, RI, 028606157, US | 649 EAST AVE, PAWTUCKET, RI, 028606157, US | |||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-305-3800 |
| Fax | 4013053816 |
Authorized person
| Name | DR. DAVID MARC GREENBERG |
| Role | PRESIDENT |
| Phone | 4013053800 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NEIGHBORHOOD HEALTH PLAN |
| Number | 0860 |
| State | RI |
| Issuer | MEDICAID |
| Number | 13195 |
| State | RI |
| Issuer | TUFTS |
| Number | 604423 |
| State | RI |
| Issuer | AETNA |
| Number | 0536612 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 2642-0 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JAMES H. HAHN, ESQ. | Agent | 40 WESTMINSTER STREET SUITE 1100, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| DAVID M. RUGGIERO D.P.M. | SECRETARY | 205 CASTLE ROCKS ROAD WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| BRIAN PONTARELLI D.P.M. | TREASURER | 4 ALYSSA LANE LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| DOUGLAS GLOD D.P.M. | VICE PRESIDENT | 40 CRYSTAL DRIVE EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| DAVID GREENBERG D.P.M. | PRESIDENT | 3 DONALD ROSS ROAD BARRINGTON, RI 02806 USA |
| Number | Name | File Date |
|---|---|---|
| 202446835680 | Annual Report | 2024-02-20 |
| 202329878690 | Annual Report | 2023-03-03 |
| 202214431830 | Annual Report | 2022-04-06 |
| 202192059420 | Annual Report | 2021-02-18 |
| 202035448950 | Annual Report | 2020-02-25 |
| 201986236230 | Annual Report | 2019-02-08 |
| 201860409240 | Annual Report | 2018-03-16 |
| 201734061930 | Annual Report | 2017-02-14 |
| 201691687640 | Annual Report | 2016-02-03 |
| 201554619380 | Annual Report | 2015-02-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8064967104 | 2020-04-15 | 0165 | PPP | 649 East Ave, Pawtucket, RI, 02860 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
