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Foot and Ankle Institute of New England, Inc.

Company Details

Name: Foot and Ankle Institute of New England, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 28 Jun 2000 (25 years ago)
Identification Number: 000113226
ZIP code: 02886
County: Kent County
Principal Address: 400 BALD HILL ROAD SUITE 503, WARWICK, RI, 02886, USA
Purpose: PODIATRY
NAICS: 622110 - General Medical and Surgical Hospitals
Fictitious names: Foot & Ankle Institute of Rhode Island (trading name, 2011-10-05 - )
Historical names: Foot & Ankle Institute of New England, Inc.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215920327 2005-08-24 2024-03-22 400 BALD HILL RD, STE 503, WARWICK, RI, 028861617, US 400 BALD HILL RD, STE 503, WARWICK, RI, 028861617, US

Contacts

Phone +1 401-738-7750
Fax 4017389750

Authorized person

Name ROBERT E GALLUCCI
Role DPM
Phone 4017387750

Taxonomy

Taxonomy Code 213E00000X - Podiatrist
State RI
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number FA35314
State RI
Issuer NITP
Number 24240
State RI
Issuer BCBS
Number 21286-7
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2023 050511501 2024-03-27 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2022 050511501 2023-02-20 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2021 050511501 2022-01-27 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2020 050511501 2021-03-29 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2019 050511501 2020-05-20 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2018 050511501 2019-02-13 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2017 050511501 2018-06-14 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2016 050511501 2017-03-31 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2015 050511501 2016-05-17 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750
FOOT & ANKLE INSTITUTE OF RHODE ISLAND RETIREMENT PLAN 2014 050511501 2015-08-28 FOOT & ANKLE INSTITUTE OF RHODE ISLAND 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750

Signature of

Role Plan administrator
Date 2015-08-28
Name of individual signing ROBERT GALLUCCI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/24/20140624110944P040024494496001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750

Signature of

Role Plan administrator
Date 2014-06-24
Name of individual signing ROBERT GALLUCCI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/09/20130709071659P030106222629001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750

Signature of

Role Plan administrator
Date 2013-07-09
Name of individual signing ROBERT GALLUCCI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/27/20120327123442P030008466674001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750

Signature of

Role Plan administrator
Date 2012-03-27
Name of individual signing ROBERT GALLUCCI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/15/20110415123020P040013848695001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750

Signature of

Role Plan administrator
Date 2011-04-15
Name of individual signing ROBERT GALLUCCI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/12/20101012150838P040003377939001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621391
Sponsor’s telephone number 4017387750
Plan sponsor’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617

Plan administrator’s name and address

Administrator’s EIN 050511501
Plan administrator’s name FOOT & ANKLE INSTITUTE OF RHODE ISLAND
Plan administrator’s address 400 BALD HILL ROAD, WARWICK, RI, 028861617
Administrator’s telephone number 4017387750

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing ROBERT GALLUCCI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN J. DIGIANFILIPPO, ESQ. Agent VIEIRA & DIGIANFILIPPO LTD. 50 PARK ROW WEST SUITE 107, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
ROBERT E. GALLUCCI DPM PRESIDENT 400 BALD HILL ROAD, SUITE 503 WARWICK, RI 02886 USA

Events

Type Date Old Value New Value
Name Change 2024-04-15 Foot & Ankle Institute of New England, Inc. Foot and Ankle Institute of New England, Inc.

Filings

Number Name File Date
202451311230 Articles of Amendment 2024-04-15
202447857690 Statement of Change of Registered/Resident Agent Office 2024-03-05
202445367560 Annual Report 2024-02-01
202329260440 Annual Report 2023-02-23
202213024420 Annual Report 2022-03-11
202192645010 Annual Report 2021-02-23
202033827900 Annual Report 2020-02-04
201986845270 Annual Report 2019-02-14
201858193270 Annual Report 2018-02-09
201734170560 Annual Report 2017-02-15

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State