| Name: | NARDONE MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 10 Oct 2002 (23 years ago) |
| Date of Dissolution: | 12 Sep 2023 (2 years ago) |
| Date of Status Change: | 12 Sep 2023 (2 years ago) |
| Identification Number: | 000127483 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 333 SCHOOL STREET SUITE 112, PAWTUCKET, RI, 02860, USA |
| Purpose: | TO OPERATE A MEDICAL PRACTICE |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205939097 | 2006-09-06 | 2010-12-20 | 333 SCHOOL ST, SUITE 210, PAWTUCKET, RI, 028605334, US | 333 SCHOOL ST, SUITE 210, PAWTUCKET, RI, 028605334, US | |||||||||||||||||||
|
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| Phone | +1 401-726-9790 |
| Fax | 4017288606 |
Authorized person
| Name | DR. AHMAD K. AL-RAQQAD |
| Role | PRESIDENT |
| Phone | 4017269790 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 11076 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AHMAD AL-RAQQAD MD | PRESIDENT | 333 SCHOOL STREET, SUITE 112 PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202341472890 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-12 |
| 202338059970 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202217306090 | Annual Report | 2022-05-11 |
| 202193293580 | Annual Report | 2021-02-26 |
| 202035464310 | Annual Report | 2020-02-26 |
| 201988140580 | Annual Report | 2019-02-27 |
| 201859560260 | Annual Report | 2018-02-28 |
| 201737792390 | Annual Report | 2017-03-08 |
| 201692123750 | Annual Report | 2016-02-08 |
| 201555824350 | Annual Report | 2015-02-26 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
