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Coastal Rheumatology, P.C., Inc.

Headquarter

Company Details

Name: Coastal Rheumatology, P.C., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 04 Jun 2001 (24 years ago)
Identification Number: 000118768
ZIP code: 02891
County: Washington County
Principal Address: 45 WELLS STREET, WESTERLY, RI, 02891, USA
Purpose: RENDERING PROFESSIONAL MEDICAL HEALTH CARE SERVICES

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

Links between entities

Type Company Name Company Number State
Headquarter of Coastal Rheumatology, P.C., Inc., CONNECTICUT 0806458 CONNECTICUT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851310890 2006-07-19 2018-03-17 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891, US 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891, US

Contacts

Phone +1 401-348-2180
Fax 4013486298

Authorized person

Name CHRISTOPHER A. D'ARCY
Role OWNER/PRESIDENT
Phone 4013482180

Taxonomy

Taxonomy Code 207RR0500X - Rheumatology Physician
License Number 3926
State CT
Is Primary No
Taxonomy Code 207RR0500X - Rheumatology Physician
License Number MD10564
State RI
Is Primary Yes
Taxonomy Code 207RR0500X - Rheumatology Physician
License Number MD10874
State RI
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number GROUPCR40894
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2023 050518460 2024-10-03 COASTAL RHEUMATOLOGY, P.C., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2022 050518460 2023-10-05 COASTAL RHEUMATOLOGY, P.C., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2021 050518460 2022-07-14 COASTAL RHEUMATOLOGY, P.C., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2020 050518460 2021-06-01 COASTAL RHEUMATOLOGY, P.C., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2019 050518460 2020-04-24 COASTAL RHEUMATOLOGY, P.C., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2018 050518460 2019-05-02 COASTAL RHEUMATOLOGY, P.C., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2017 050518460 2018-02-05 COASTAL RHEUMATOLOGY, P.C., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2016 050518460 2017-02-13 COASTAL RHEUMATOLOGY, P.C., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050518460
Plan administrator’s name COASTAL RHEUMATOLOGY, P.C., INC.
Plan administrator’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
Administrator’s telephone number 4013482180
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2015 050518460 2016-03-10 COASTAL RHEUMATOLOGY, P.C., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050518460
Plan administrator’s name COASTAL RHEUMATOLOGY, P.C., INC.
Plan administrator’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
Administrator’s telephone number 4013482180
COASTAL RHEUMATOLOGY, P.C., INC. 401(K) RETIREMENT PLAN 2014 050518460 2015-07-16 COASTAL RHEUMATOLOGY, P.C., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050518460
Plan administrator’s name COASTAL RHEUMATOLOGY, P.C., INC.
Plan administrator’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
Administrator’s telephone number 4013482180

Signature of

Role Plan administrator
Date 2015-07-16
Name of individual signing CHRISTOPHER D'ARCY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/01/20140701152817P040018848183001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050518460
Plan administrator’s name COASTAL RHEUMATOLOGY, P.C., INC.
Plan administrator’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
Administrator’s telephone number 4013482180

Signature of

Role Plan administrator
Date 2014-07-01
Name of individual signing CHRISTOPHER D'ARCY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/13/20130913170326P030500065233001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050518460
Plan administrator’s name COASTAL RHEUMATOLOGY, P.C., INC.
Plan administrator’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
Administrator’s telephone number 4013482180

Signature of

Role Plan administrator
Date 2013-09-13
Name of individual signing CHRISTOPHER D'ARCY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/29/20120529122843P040012914609001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050518460
Plan administrator’s name COASTAL RHEUMATOLOGY, P.C., INC.
Plan administrator’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
Administrator’s telephone number 4013482180

Signature of

Role Plan administrator
Date 2012-05-29
Name of individual signing CHRISTOPHER D'ARCY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/16/20110216134925P040011414881001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050518460
Plan administrator’s name COASTAL RHEUMATOLOGY, P.C., INC.
Plan administrator’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
Administrator’s telephone number 4013482180

Signature of

Role Plan administrator
Date 2011-02-16
Name of individual signing CHRISTOPHER D'ARCY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/07/20100907084127P030483712865001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013482180
Plan sponsor’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050518460
Plan administrator’s name COASTAL RHEUMATOLOGY, P.C., INC.
Plan administrator’s address 45 WELLS STREET, SUITE 203B, WESTERLY, RI, 02891
Administrator’s telephone number 4013482180

Signature of

Role Plan administrator
Date 2010-09-07
Name of individual signing CHRISTOPHER D'ARCY
Valid signature Filed with authorized/valid electronic signature

PRESIDENT

Name Role Address
CHRISTOPHER A D'ARCY MD PRESIDENT 45 WELLS STREET WESTERLY, RI 02891- USA

Agent

Name Role Address
ALAN R. TATE, ESQ. Agent 40 WESTMINSTER STREET, PROVIDENCE, RI, 02903, USA

Filings

Number Name File Date
202446876610 Annual Report 2024-02-20
202328983340 Annual Report 2023-02-21
202209329540 Annual Report 2022-02-03
202191590050 Annual Report 2021-02-17
202034159190 Annual Report 2020-02-10
201985866320 Annual Report 2019-02-01
201985755390 Statement of Change of Registered/Resident Agent Office 2019-02-01
201856611190 Annual Report 2018-01-22
201730867950 Annual Report 2017-01-25
201691070190 Annual Report 2016-01-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3130127106 2020-04-11 0165 PPP 45 WELLS ST Suite 203B, WESTERLY, RI, 02891-2922
Loan Status Date 2021-05-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 114257
Loan Approval Amount (current) 114257
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65777
Servicing Lender Name The Washington Trust Company of Westerly
Servicing Lender Address 23 Broad St, WESTERLY, RI, 02891-1879
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WESTERLY, WASHINGTON, RI, 02891-2922
Project Congressional District RI-02
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Cooperative
Originating Lender ID 65777
Originating Lender Name The Washington Trust Company of Westerly
Originating Lender Address WESTERLY, RI
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 115367.83
Forgiveness Paid Date 2021-04-13

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State