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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, WARWICK, RI, 02886, USA
Purpose: MEDICAL PRACTICE SPECIALIZING IN ASTHMA, ALLERGY AND IMMUNOLOGY
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.

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

Companies doing Offices of physicians (except mental health specialists)

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

OTHER OFFICER

Name Role Address
JOHN F ZWETCHKENBAUM OTHER OFFICER 470 TOLL GATE ROAD WARWICK, RI 02886 UNI

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

WAKE ROBIN ASSOCIATES LLC MJZ, LLC

Related by address

No related companies by address

Date of last update: 09 Apr 2025

Sources: Rhode Island Department of State

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