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  5. Endovascular & Interventional Associates, Inc.

Endovascular & Interventional Associates, Inc.

Company Details

Name: Endovascular & Interventional Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 19 Jan 1996 (29 years ago)
Identification Number: 000087814
ZIP code: 02852
County: Washington County
Principal Address: 1130 TEN ROD ROAD, NORTH KINGSTOWN, RI, 02852, USA
Purpose: MEDICAL SERVICES
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: E & I Radiology (trading name, 1996-11-20 - )
E & I Radiology Associates (trading name, 1996-11-20 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407928179 2006-11-15 2010-09-17 1130 TEN ROD RD, D201, NORTH KINGSTOWN, RI, 028524161, US 455 TOLL GATE RD, WARWICK, RI, 028862759, US

Contacts
Phone +1 401-295-8655
Phone +1 401-737-7010

Authorized person
Name DR. LANDY PETER PAOLELLA
Role PRESIDENT
Phone 4012958655

Taxonomy
Taxonomy Code 2085R0204X - Vascular & Interventional Radiology Physician
License Number RI6315
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 9020277
State CA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES 401(K) PLAN 2017 050488417 2018-01-26 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 2
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8775917250
Plan sponsor’s address 1130 TEN ROD ROAD, NORTH KINGSTOWN, RI, 02852

Signature of
Role Plan administrator
Date 2018-01-26
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES 401(K) PLAN 2017 050488417 2018-02-21 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8775917250
Plan sponsor’s address 1130 TEN ROD ROAD, NORTH KINGSTOWN, RI, 02852

Signature of
Role Plan administrator
Date 2018-02-21
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES 401(K) PLAN 2016 050488417 2017-06-24 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8775917250
Plan sponsor’s address 1130 TEN ROD ROAD, NORTH KINGSTOWN, RI, 02852

Signature of
Role Plan administrator
Date 2017-06-24
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES 401(K) PLAN 2015 050488417 2016-07-13 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8775917250
Plan sponsor’s address 1130 TEN ROD ROAD, NORTH KINGSTOWN, RI, 02852

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES 401(K)PLAN 2014 050488417 2015-09-11 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-19
Business code 621111
Sponsor’s telephone number 8775917250
Plan sponsor’s address 1130 TEN ROD ROAD, SUITE D201, NORTH KINGSTOWN, RI, 02852

Signature of
Role Plan administrator
Date 2015-09-11
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES 401(K)PLAN 2013 050488417 2014-09-16 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-19
Business code 621111
Sponsor’s telephone number 8775917250
Plan sponsor’s address 1130 TEN ROD ROAD, SUITE D201, NORTH KINGSTOWN, RI, 02852

Signature of
Role Plan administrator
Date 2014-09-16
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES 401(K)PLAN 2012 050488417 2013-09-13 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-19
Business code 621111
Sponsor’s telephone number 8775917250
Plan sponsor’s address 1130 TEN ROD RD., SUITE D201, NORTH KINGSTOWN, RI, 02852

Signature of
Role Plan administrator
Date 2013-09-13
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 401(K)PLAN 2011 050488417 2012-09-13 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-19
Business code 621111
Sponsor’s telephone number 8775917250
Plan sponsor’s address 1130 TEN ROD RD., SUITE D201, NORTH KINGSTOWN, RI, 02852

Plan administrator’s name and address
Administrator’s EIN 050488417
Plan administrator’s name ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC.
Plan administrator’s address 1130 TEN ROD RD., SUITE D201, NORTH KINGSTOWN, RI, 02852
Administrator’s telephone number 8775917250

Signature of
Role Plan administrator
Date 2012-09-13
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 401(K)PLAN 2010 050488417 2011-09-26 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-19
Business code 621111
Sponsor’s telephone number 4012958655
Plan sponsor’s address 1130 TEN ROD RD, SUITE D201, NORTH KINGSTOWN, RI, 028524169

Plan administrator’s name and address
Administrator’s EIN 050488417
Plan administrator’s name ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC.
Plan administrator’s address 1130 TEN ROD RD, SUITE D201, NORTH KINGSTOWN, RI, 028524169
Administrator’s telephone number 4012958655

Signature of
Role Plan administrator
Date 2011-09-26
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 401K PLAN 2009 050488417 2010-09-23 ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-19
Business code 621111
Sponsor’s telephone number 4012958655
Plan sponsor’s address 1130 TEN ROD RD, SUITE D201, NORTH KINGSTOWN, RI, 028524169

Plan administrator’s name and address
Administrator’s EIN 050488417
Plan administrator’s name ENDOVASCULAR & INTERVENTIONAL ASSOCIATES, INC.
Plan administrator’s address 1130 TEN ROD RD, SUITE D201, NORTH KINGSTOWN, RI, 028524169
Administrator’s telephone number 4012958655

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing ROBERT BINEK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PAUL T. DICRISTOFARO Agent 37 SOCKANOSSET CROSS ROAD, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
LANDY P PAOLELLA MD PRESIDENT 1130 TEN ROD ROAD NORTH KINGSTOWN, RI 02852- USA

Filings

Number Name File Date
202446922010 Annual Report 2024-02-20
202331380350 Annual Report 2023-03-17
202217443650 Annual Report 2022-05-17
202190344230 Annual Report 2021-02-05
202033383730 Annual Report 2020-01-29
201985713750 Annual Report 2019-01-31
201857082610 Annual Report 2018-01-29
201741686430 Statement of Change of Registered Office by the Registered Agent 2017-04-25
201730579790 Annual Report 2017-01-20
201691910900 Annual Report 2016-02-04

Related by officers

PAUL T. DICRISTOFARO

ANDREONI'S MARKET, INC. MITCH ADAMS ELECTRICAL CONTRACTOR, INC. Waterman North Associates, Inc. Bogman & Wilbur Equities, Ltd. JR Ring, Inc. William S. Buonanno, M.D., Inc. CUMBERLAND RESTAURANT MANAGEMENT CORP. Cantina di Marco Restaurant & Grill, Inc. J & M Metal, Inc. Wildflour Bakery, Inc.

LANDY P PAOLELLA MD

Mentor Medical Management, Inc.

Related by address

1130 TEN ROD ROAD, NORTH KINGSTOWN, RI, 02852, USA

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Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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