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  5. Coastal Rheumatology, P.C., Inc.

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
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

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

Agent

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

PRESIDENT

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

Related by officers

ALAN R. TATE, ESQ.

Healy Physical Therapy and Sports Medicine, Inc.

Related by address

45 WELLS STREET, WESTERLY, RI, 02891, USA

Women's Health of Westerly, LLC Dena C.W. Ross, M.D., F.A.A.P., LLC YALE MEDICINE OF RHODE ISLAND, PC

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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