| Name: | Rhode Island Cardiovascular Group, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 Apr 2001 (24 years ago) |
| Identification Number: | 000118036 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 6 BLACKSTONE VALLEY PL STE 105, LINCOLN, RI, 02865, USA |
| Purpose: | TO RENDER PROFESSIONAL MEDICAL SERVICES AND CONSULTATION. TO ENGAGE IN THE LICENSED PRACTICE OF MEDICINE AND CARDIOLOGY. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568495232 | 2006-07-08 | 2008-06-16 | 68 CUMBERLAND ST, SUITE 103, WOONSOCKET, RI, 028953323, US | 68 CUMBERLAND ST, SUITE 103, WOONSOCKET, RI, 028953323, US | |||||||||||||||||||||||
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| Phone | +1 401-762-3838 |
| Fax | 4017628252 |
Authorized person
| Name | KIRIT DESAI |
| Role | PRESIDENT |
| Phone | 4017623838 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | RI37476 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RHODE ISLAND CARDIOVASCULAR GROUP, INC. 401(K)PLAN | 2009 | 050517130 | 2010-10-15 | RHODE ISLAND CARDIOVASCULAR GROUP, INC. | 39 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 050517130 |
| Plan administrator’s name | RHODE ISLAND CARDIOVASCULAR GROUP, INC. |
| Plan administrator’s address | 68 CUMBERLAND STREET, WOONSOCKET, RI, 028953323 |
| Administrator’s telephone number | 4017623838 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | DAVID BADER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH P MAZZA MD | PRESIDENT | 6 BLACKSTONE VALLEY PL STE 105 LINCOLN, RI 02865 USA |
| Number | Name | File Date |
|---|---|---|
| 202449086700 | Annual Report | 2024-03-13 |
| 202334191610 | Annual Report | 2023-04-25 |
| 202214036800 | Annual Report | 2022-03-28 |
| 202193261750 | Annual Report | 2021-02-25 |
| 202036232260 | Annual Report | 2020-03-11 |
| 201989227370 | Annual Report | 2019-03-25 |
| 201861123370 | Annual Report | 2018-03-28 |
| 201734989810 | Annual Report | 2017-02-27 |
| 201694762650 | Annual Report | 2016-03-16 |
| 201556127270 | Annual Report | 2015-03-02 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
