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  5. NINIGRET ORTHOPEDICS, INC.

NINIGRET ORTHOPEDICS, INC.

Company Details

Name: NINIGRET ORTHOPEDICS, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 03 Apr 2000 (25 years ago)
Date of Dissolution: 27 Feb 2019 (6 years ago)
Date of Status Change: 27 Feb 2019 (6 years ago)
Identification Number: 000111845
ZIP code: 02891
County: Washington County
Principal Address: 81 BEACH STREET, WESTERLY, RI, 02891, USA
Purpose: ENGAGING IN THE PRACTICE OF MEDICING BY AUTHORITY
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003005497 2007-10-22 2009-07-06 81 BEACH ST, WESTERLY, RI, 028912769, US 81 BEACH ST, WESTERLY, RI, 028912769, US

Contacts
Phone +1 401-596-9039

Authorized person
Name MRS. KERRY TOTH
Role OFFICE MANAGER
Phone 4015969039

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number 8611
State RI
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS
Number 21202-7
State RI
Issuer MEDICARE PA PTAN
Number 9790006084

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2017 050510561 2018-05-17 NINIGRET ORTHOPEDICS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4015969039
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing KERRY TOTH
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2016 050510561 2017-05-31 NINIGRET ORTHOPEDICS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4015969039
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2017-05-31
Name of individual signing KERRY TOTH
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2015 050510561 2016-06-03 NINIGRET ORTHOPEDICS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4015969039
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing KERRY TOTH
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2014 050510561 2015-06-18 NINIGRET ORTHOPEDICS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4015969039
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing KERRY TOTH
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2013 050510561 2014-06-19 NINIGRET ORTHOPEDICS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4015969039
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2014-06-19
Name of individual signing KERRY TOTH
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2012 050510561 2013-10-15 NINIGRET ORTHOPEDICS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4013480502
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing STEPHEN GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing STEPHEN GROSS
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2011 050510561 2012-06-19 NINIGRET ORTHOPEDICS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4013480502
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 050510561
Plan administrator’s name NINIGRET ORTHOPEDICS, INC.
Plan administrator’s address 81 BEACH STREET, WESTERLY, RI, 02891
Administrator’s telephone number 4013480502

Signature of
Role Plan administrator
Date 2012-06-19
Name of individual signing STEPHEN B. GROSS, M.D
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-19
Name of individual signing STEPHEN B. GROSS, M.D.
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2010 050510561 2011-07-18 NINIGRET ORTHOPEDICS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4013480502
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 050510561
Plan administrator’s name NINIGRET ORTHOPEDICS, INC.
Plan administrator’s address 81 BEACH STREET, WESTERLY, RI, 02891
Administrator’s telephone number 4013480502

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing STEPHEN B. GROSS
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2009 050510561 2010-10-14 NINIGRET ORTHOPEDICS, INC. 7
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4013480502
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 050510561
Plan administrator’s name NINIGRET ORTHOPEDICS, INC.
Plan administrator’s address 81 BEACH STREET, WESTERLY, RI, 02891
Administrator’s telephone number 4013480502

Signature of
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing STEPHEN GROSS
Valid signature Filed with authorized/valid electronic signature
NINIGRET ORTHOPEDICS, INC. 401(K) PROFIT SHARING PLAN 2009 050510561 2010-10-15 NINIGRET ORTHOPEDICS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4013480502
Plan sponsor’s address 81 BEACH STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 050510561
Plan administrator’s name NINIGRET ORTHOPEDICS, INC.
Plan administrator’s address 81 BEACH STREET, WESTERLY, RI, 02891
Administrator’s telephone number 4013480502

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing STEPHEN B GROSS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN B. GROSS Agent 81 BEACH STREET, WESTERLY, RI, 02891, USA

PRESIDENT

Name Role Address
STEPHEN B GROSS PRESIDENT 188 WARREN ROAD CHARLESTOWN, RI 02813- USA

Filings

Number Name File Date
201987709850 Articles of Dissolution 2019-02-27
201859119530 Annual Report 2018-02-26
201730872080 Annual Report 2017-01-25
201692381060 Annual Report 2016-02-12
201555649520 Annual Report 2015-02-24
201436147680 Annual Report 2014-02-25
201307274420 Annual Report 2013-01-04
201289662510 Annual Report 2012-02-14
201176042850 Annual Report 2011-02-25
201059800670 Annual Report 2010-03-01

Related by officers

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STEPHEN B GROSS

YALE MEDICINE OF RHODE ISLAND, PC

Related by address

81 BEACH STREET, WESTERLY, RI, 02891, USA

Joseph P. Giancaspro, M.D., Inc. Atlantic Orthopedics, LLC

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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