Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Kent County
    4. ›
  4. 02818
    5. ›
  5. University Family Medicine, Inc.

University Family Medicine, Inc.

Company Details

Name: University Family Medicine, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Mar 2003 (22 years ago)
Identification Number: 000130952
ZIP code: 02818
County: Kent County
Principal Address: 1351 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA
Purpose: TO CARRY ON ANY AND ALL BUSINESS IN WHICH PHYSICIANS ARE LICENSED TO PRACTICE MEDICINE IN THE STATE OF RHODE ISLAND

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

Companies doing Offices of physicians (except mental health specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538474713 2010-08-12 2012-10-23 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US 1351 S COUNTY TRL, 301, EAST GREENWICH, RI, 028185079, US

Contacts
Phone +1 401-398-0860

Authorized person
Name KENNY HEINE
Role SR DIRECTOR OPS
Phone 8586252990

Taxonomy
Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
License Number MD08461
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2023 043749650 2024-09-26 UNIVERSITY FAMILY MEDICINE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Signature of
Role Plan administrator
Date 2024-09-26
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2022 043749650 2023-03-16 UNIVERSITY FAMILY MEDICINE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Signature of
Role Plan administrator
Date 2023-03-16
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2021 043749650 2022-04-26 UNIVERSITY FAMILY MEDICINE 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Signature of
Role Plan administrator
Date 2022-04-26
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2020 043749650 2021-05-04 UNIVERSITY FAMILY MEDICINE 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Signature of
Role Plan administrator
Date 2021-05-04
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2019 043749650 2020-05-20 UNIVERSITY FAMILY MEDICINE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2018 043749650 2019-07-16 UNIVERSITY FAMILY MEDICINE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2017 043749650 2018-07-10 UNIVERSITY FAMILY MEDICINE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2016 043749650 2017-10-05 UNIVERSITY FAMILY MEDICINE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2015 043749650 2016-07-12 UNIVERSITY FAMILY MEDICINE 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Plan administrator’s name and address
Administrator’s EIN 043749650
Plan administrator’s name UNIVERSITY FAMILY MEDICINE
Plan administrator’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Administrator’s telephone number 4013980860

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY FAMILY MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST 2014 043749650 2015-06-03 UNIVERSITY FAMILY MEDICINE 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Plan administrator’s name and address
Administrator’s EIN 043749650
Plan administrator’s name UNIVERSITY FAMILY MEDICINE
Plan administrator’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Administrator’s telephone number 4013980860

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/12/20140612084809P030382462019001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Plan administrator’s name and address
Administrator’s EIN 043749650
Plan administrator’s name UNIVERSITY FAMILY MEDICINE
Plan administrator’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Administrator’s telephone number 4013980860

Signature of
Role Plan administrator
Date 2014-06-12
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/08/20130408165839P040211354321001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Plan administrator’s name and address
Administrator’s EIN 043749650
Plan administrator’s name UNIVERSITY FAMILY MEDICINE
Plan administrator’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Administrator’s telephone number 4013980860

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726182546P030001359556001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Plan administrator’s name and address
Administrator’s EIN 043749650
Plan administrator’s name UNIVERSITY FAMILY MEDICINE
Plan administrator’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Administrator’s telephone number 4013980860

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing PIERRE R. MANZO, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/25/20110325061805P030031058881001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s mailing address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Plan administrator’s name and address
Administrator’s EIN 043749650
Plan administrator’s name UNIVERSITY FAMILY MEDICINE
Plan administrator’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Administrator’s telephone number 4013980860

Number of participants as of the end of the plan year
Active participants 13
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2011-03-25
Name of individual signing DAVID W ASHLEY MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/28/20100528054823P030061888904001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 4013980860
Plan sponsor’s mailing address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Plan sponsor’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083

Plan administrator’s name and address
Administrator’s EIN 043749650
Plan administrator’s name UNIVERSITY FAMILY MEDICINE
Plan administrator’s address 1351 S COUNTY TRL STE 301, E GREENWICH, RI, 028185083
Administrator’s telephone number 4013980860

Number of participants as of the end of the plan year
Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2010-05-28
Name of individual signing DAVID ASHLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TERRENCE G. SIMPSON, ESQ.. Agent 65 BOSTON NECK ROAD, NORTH KINGSTOWN, RI, 02852, USA

PRESIDENT

Name Role Address
PIERRE R MANZO PRESIDENT 28 MYRICK DRIVE SLATERSVILLE, RI 02876 USA

Filings

Number Name File Date
202454416220 Annual Report 2024-05-01
202332300230 Annual Report 2023-04-03
202221658020 Annual Report 2022-04-06
202195165100 Annual Report 2021-03-29
202193727030 Statement of Change of Registered/Resident Agent Office 2021-03-09
202036975770 Annual Report 2020-03-30
202034814260 Statement of Change of Registered/Resident Agent 2020-02-20
201986481720 Annual Report 2019-02-11
201858911900 Annual Report 2018-02-20
201737737850 Annual Report 2017-03-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9854857203 2020-04-28 0165 PPP 1351 S COUNTY TR, EAST GREENWICH, RI, 02818
Loan Status Date 2021-07-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 210607
Loan Approval Amount (current) 210607
Undisbursed Amount 0
Franchise Name -
Lender Location ID 15940
Servicing Lender Name Webster Bank National Association
Servicing Lender Address 137 Bank St, WATERBURY, CT, 06702-2205
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address EAST GREENWICH, KENT, RI, 02818-0001
Project Congressional District RI-02
Number of Employees 17
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 15940
Originating Lender Name Webster Bank National Association
Originating Lender Address WATERBURY, CT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 212863.09
Forgiveness Paid Date 2021-06-10

Related by officers

TERRENCE G. SIMPSON, ESQ..

CMRE REALTY, LLC

Related by address

1351 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA

Adult Health Associates, Inc. East Greenwich Spine and Sport, Inc. Elite Smiles, LLC

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated