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Neurosurgery Associates, Inc.

Company Details

Name: Neurosurgery Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 16 Oct 1998 (26 years ago)
Identification Number: 000103001
ZIP code: 02860
County: Providence County
Principal Address: 588 PAWTUCKET AVENUE, PAWTUCKET, RI, 02860, USA
Purpose: TO PRACTICE MEDICINE, INCLUDING THE PRACTICE OF NEUROSURGERY
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Historical names: Stephen Saris, M.D., Neurosurgery, Inc.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922083138 2005-12-09 2020-08-22 3 DAVOL SQ, SUITE B200, PROVIDENCE, RI, 029034710, US 3 DAVOL SQ, SUITE B200, PROVIDENCE, RI, 029034710, US

Contacts

Phone +1 401-453-3545
Fax 4014533533

Authorized person

Name STEPHEN CLAYTON SARIS
Role PRESIDENT
Phone 4014533545

Taxonomy

Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2017 050501339 2018-07-19 NEUROSURGERY ASSOCIATES, INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014533545
Plan sponsor’s address 1 DAVOL SQUARE, SUITE 302, PROVIDENCE, RI, 029034755
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2017 050501339 2018-05-03 NEUROSURGERY ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014533545
Plan sponsor’s address 1 DAVOL SQUARE, SUITE 302, PROVIDENCE, RI, 029034755
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2016 050501339 2017-05-10 NEUROSURGERY ASSOCIATES, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014533545
Plan sponsor’s address 1 DAVOL SQUARE, SUITE 302, PROVIDENCE, RI, 029034755
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2015 050501339 2016-06-07 NEUROSURGERY ASSOCIATES, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014533545
Plan sponsor’s address 1 DAVOL SQUARE, SUITE 302, PROVIDENCE, RI, 029034755
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2014 050501339 2015-06-22 NEUROSURGERY ASSOCIATES, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014443545
Plan sponsor’s address 1 DAVOL SQUARE, SUITE 302, PROVIDENCE, RI, 029034755

Signature of

Role Plan administrator
Date 2015-06-22
Name of individual signing STEPHEN C. SARIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2013 050501339 2014-06-18 NEUROSURGERY ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014443545
Plan sponsor’s address 1 DAVOL SQUARE, SUITE 302, PROVIDENCE, RI, 029034755

Signature of

Role Plan administrator
Date 2014-06-18
Name of individual signing STEPHEN C. SARIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2012 050501339 2013-06-20 NEUROSURGERY ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014443545
Plan sponsor’s address 3 DAVOL SQUARE, SUITE B200, PROVIDENCE, RI, 029034762

Signature of

Role Plan administrator
Date 2013-06-20
Name of individual signing STEPHEN C. SARIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2011 050501339 2012-09-17 NEUROSURGERY ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014443545
Plan sponsor’s address 3 DAVOL SQUARE, SUITE B200, PROVIDENCE, RI, 029034762

Plan administrator’s name and address

Administrator’s EIN 050501339
Plan administrator’s name NEUROSURGERY ASSOCIATES, INC.
Plan administrator’s address 3 DAVOL SQUARE, SUITE B200, PROVIDENCE, RI, 029034762
Administrator’s telephone number 4014443545

Signature of

Role Plan administrator
Date 2012-09-17
Name of individual signing STEPHEN C. SARIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2010 050501339 2011-06-22 NEUROSURGERY ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014443545
Plan sponsor’s address 3 DAVOL SQUARE, PROVIDENCE, RI, 02903

Plan administrator’s name and address

Administrator’s EIN 050501339
Plan administrator’s name NEUROSURGERY ASSOCIATES, INC.
Plan administrator’s address 3 DAVOL SQUARE, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014443545

Signature of

Role Plan administrator
Date 2011-06-22
Name of individual signing STEPHEN SARIS
Valid signature Filed with authorized/valid electronic signature
NEUROSURGERY ASSOCIATES, INC. PROFIT SHARING PLAN 2009 050501339 2010-08-25 NEUROSURGERY ASSOCIATES, INC. 5
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014443545
Plan sponsor’s address 3 DAVOL SQUARE, PROVIDENCE, RI, 02903

Plan administrator’s name and address

Administrator’s EIN 050501339
Plan administrator’s name NEUROSURGERY ASSOCIATES, INC.
Plan administrator’s address 3 DAVOL SQUARE, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014443545
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/21/20100921081423P030004444417001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014443545
Plan sponsor’s address 3 DAVOL SQUARE, PROVIDENCE, RI, 02903

Plan administrator’s name and address

Administrator’s EIN 050501339
Plan administrator’s name NEUROSURGERY ASSOCIATES, INC.
Plan administrator’s address 3 DAVOL SQUARE, PROVIDENCE, RI, 02903
Administrator’s telephone number 4014443545

Signature of

Role Plan administrator
Date 2010-09-21
Name of individual signing STEPHEN SARIS
Valid signature Filed with authorized/valid electronic signature

Agent

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

PRESIDENT

Name Role Address
STEPHEN SARIS M.D. PRESIDENT 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA

TREASURER

Name Role Address
STEPHEN SARIS M.D. TREASURER 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA

SECRETARY

Name Role Address
STEPHEN SARIS M.D. SECRETARY 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA

DIRECTOR

Name Role Address
STEPHEN SARIS M.D. DIRECTOR 588 PAWTUCKET AVENUE PAWTUCKET, RI 02860 USA

Events

Type Date Old Value New Value
Name Change 2001-01-05 Stephen Saris, M.D., Neurosurgery, Inc. Neurosurgery Associates, Inc.

Filings

Number Name File Date
202454675870 Annual Report 2024-05-21
202332322700 Annual Report 2023-04-03
202214312210 Annual Report 2022-04-08
202195164400 Annual Report 2021-03-29
202077102560 Statement of Change of Registered/Resident Agent 2020-11-23
202077101220 Annual Report 2020-11-23
202055002840 Revocation Notice For Failure to File An Annual Report 2020-09-16
201985564370 Annual Report 2019-01-30
201857746080 Annual Report 2018-02-06
201737160360 Annual Report 2017-03-01

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State