| 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 Podiatrists |
| 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 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
