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  5. Asthma & Allergy Physicians of Rhode Island, Inc.

Asthma & Allergy Physicians of Rhode Island, Inc.

Company Details

Name: Asthma & Allergy Physicians of Rhode Island, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 02 Mar 1999 (26 years ago)
Identification Number: 000105099
ZIP code: 02886
County: Kent County
Principal Address: 470 TOLL GATE ROAD STE 203 STE 203, WARWICK, RI, 02886, USA
Purpose: MEDICAL PRACTICE SPECIALIZING IN ASTHMA, ALLERGY AND IMMUNOLOGY
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: Rhode Island Food Allergy Center (trading name, 2014-05-29 - )
East Side Aesthetics (trading name, 2009-01-30 - )
East Side Aesthetics Center (trading name, 2008-12-31 - )
A to Z Primary Care (trading name, 2005-06-16 - 2011-01-04)
AAPRI Clinical Research Institute (trading name, 2003-02-28 - 2012-07-20)
Historical names: Vivra Asthma & Allergy of Rhode Island, Inc.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508992694 2007-02-26 2019-10-04 1056 HOPE ST, PROVIDENCE, RI, 029065026, US 470 TOLL GATE RD STE 203, WARWICK, RI, 028862741, US

Contacts
Phone +1 401-751-1235
Fax 4017514744

Authorized person
Name JOHN F ZWETCHKENBAUM
Role PRESIDENT
Phone 4017514744

Taxonomy
Taxonomy Code 207KA0200X - Allergy Physician
License Number MD07704
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number AA43354
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2023 050503760 2024-07-16 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 470 TOLL GATE ROAD, SUITE 203, WARWICK, RI, 02886
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2022 050503760 2023-05-02 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 470 TOLL GATE ROAD, SUITE 203, WARWICK, RI, 02886
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2021 050503760 2022-04-07 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 470 TOLL GATE ROAD, SUITE 203, WARWICK, RI, 02886
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2020 050503760 2021-05-20 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 470 TOLL GATE ROAD, SUITE 203, WARWICK, RI, 02886
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2019 050503760 2020-04-03 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 470 TOLL GATE ROAD, SUITE 203, WARWICK, RI, 02886
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2018 050503760 2019-07-08 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 470 TOLL GATE ROAD, SUITE 203, WARWICK, RI, 02886
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2017 050503760 2018-02-15 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2016 050503760 2017-04-14 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2015 050503760 2016-04-25 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906
ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. PENSION PLAN 2014 050503760 2015-05-01 ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2015-05-01
Name of individual signing JOHN ZWETCHKENBAUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/01/20140701085420P040000839689001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing JOHN ZWETCHKENBAUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/05/20130605063953P040011815970001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050503760
Plan administrator’s name ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC.
Plan administrator’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4017511235

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing JOHN ZWETCHKENBAUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/25/20120725080105P040006371953001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050503760
Plan administrator’s name ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC.
Plan administrator’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4017511235

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing JOHN ZWETCHKENBAUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/11/20111011093833P040150106705001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050503760
Plan administrator’s name ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC.
Plan administrator’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4017511235

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing JOHN ZWETCHKENBAUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/22/20100622143708P030030545175001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4017511235
Plan sponsor’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050503760
Plan administrator’s name ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND, INC.
Plan administrator’s address 1056 HOPE STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4017511235

Signature of
Role Plan administrator
Date 2010-06-22
Name of individual signing JOHN ZWETCHKENBAUM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HARRIS K. WEINER, ESQ. Agent 197 TAUNTON AVENUE, EAST PROVIDENCE, RI, 02914, USA

TREASURER

Name Role Address
JOHN F ZWETCHKENBAUM MD TREASURER 470 TOLL GATE ROAD, STE 203 WARWICK, RI 02886 USA

SECRETARY

Name Role Address
JOHN F ZWETCHKENBAUM MD SECRETARY 470 TOLL GATE ROAD, STE 203 WARWICK, RI 02886 USA

PRESIDENT

Name Role Address
JOHN F ZWETCHKENBAUM MD PRESIDENT 470 TOLL GATE ROAD, STE 203 WARWICK, RI 02886 USA

DIRECTOR

Name Role Address
JOHN F ZWETCHKENBAUM MD DIRECTOR 470 TOLL GATE ROAD, STE 203 WARWICK, RI 02886 USA

Events

Type Date Old Value New Value
Name Change 2001-06-12 Vivra Asthma & Allergy of Rhode Island, Inc. Asthma & Allergy Physicians of Rhode Island, Inc.

Filings

Number Name File Date
202450162220 Annual Report 2024-04-04
202450080470 Statement of Change of Registered/Resident Agent Office 2024-04-03
202449679920 Revocation Notice For Failure to Maintain a Registered Office 2024-03-28
202448695200 Registered Office Not Maintained 2024-01-03
202327303130 Annual Report 2023-02-02
202209718470 Annual Report 2022-02-08
202107274960 Statement of Change of Registered/Resident Agent Office 2021-12-20
202186060920 Annual Report 2021-01-14
202030958030 Annual Report 2020-01-02
201983673380 Statement of Change of Registered/Resident Agent Office 2019-01-03

Related by officers

HARRIS K. WEINER, ESQ.

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JOHN F ZWETCHKENBAUM MD

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Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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