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Smithfield Pediatrics, Inc.

Company Details

Name: Smithfield Pediatrics, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 21 Jul 1998 (27 years ago)
Identification Number: 000101623
ZIP code: 02828
County: Providence County
Purpose: TO ENGAGE IN THE PRACTICE OF MEDICINE
Fictitious names: Smithfield Pediatrics (trading name, 1999-04-01 - 2013-02-08)
Historical names: STEPHANIE J. PENCHUK, M.D., INC.
Principal Address: Google Maps Logo 7 SMITH AVENUE SUITE 103, SMITHFIELD, RI, 02828, USA

Industry & Business Activity

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

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
DINUSHA DIETRICH MD PRESIDENT 7 SMITH AVENUE, SUITE 103 GREENVILLE, RI 02828 USA

National Provider Identifier

NPI Number:
1346411592
Certification Date:
2022-05-23

Authorized Person:

Name:
JESSICA LYNCH
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
4012314757

Form 5500 Series

Employer Identification Number (EIN):
043431959
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Name Change 2013-02-08 STEPHANIE J. PENCHUK, M.D., INC. Smithfield Pediatrics, Inc.

Filings

Number Name File Date
202448309710 Annual Report 2024-03-08
202331984080 Annual Report 2023-03-29
202213669900 Annual Report 2022-03-24
202193500750 Annual Report 2021-03-01
202035168650 Annual Report 2020-02-24

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2023-10-03
Action:
Continuation

Parties

Party Name:
Smithfield Pediatrics, Inc.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2018-10-03
Action:
InitialFiling

Parties

Party Name:
Smithfield Pediatrics, Inc.
Party Role:
Debtor(s)
Party Role:
Secured Parties

Expenditures

Agency Date Program Subprogram Amount
Department of Children, Youth and Families 2024-12-10 CHILD WELFARE FAMILY SERVICES 520.0
Department of Children, Youth and Families 2024-11-22 CHILD WELFARE FAMILY SERVICES 155.0

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
92800.00
Total Face Value Of Loan:
92800.00
Date:
2018-09-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
250000.00
Total Face Value Of Loan:
250000.00
Date:
2018-09-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
75000.00
Total Face Value Of Loan:
75000.00

Paycheck Protection Program

Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
92800
Current Approval Amount:
92800
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
93700.03

Date of last update: 20 May 2025

Sources: Rhode Island Department of State