| Name: | JOHN CHAFFEY, D.O., Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 22 May 2003 (22 years ago) |
| Date of Dissolution: | 24 Feb 2020 (5 years ago) |
| Date of Status Change: | 24 Feb 2020 (5 years ago) |
| Identification Number: | 000132237 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 215 TOLL GATE ROAD SUITE 209, WARWICK, RI, 02886, USA |
| Purpose: | TO ENGAGE IN THE GENERAL PRACTICE OF MEDICINE AND OSTEOPATHY AND RELATED SERVICES |
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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609918754 | 2007-02-13 | 2012-10-17 | 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US | 215 TOLL GATE RD, SUITE 209, WARWICK, RI, 028864458, US | |||||||||||||||||
|
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| Phone | +1 401-825-8200 |
Authorized person
| Name | KENNY HEINE |
| Role | DIR. OF OPERATIONS |
| Phone | 8586252990 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | MD11590 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JARED M. TOMASSI, ESQ. | Agent | 188 SARGENT STREET, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| JOHN CHAFFEY | PRESIDENT | 215 TOLLGATE ROAD, SUITE 209 WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| JARED TOMASSI | OTHER OFFICER | 188 SARGENT STREET WARWICK, RI 02888 UNI |
| Number | Name | File Date |
|---|---|---|
| 202035009520 | Articles of Dissolution | 2020-02-24 |
| 201985134960 | Annual Report | 2019-01-25 |
| 201859420960 | Annual Report | 2018-02-28 |
| 201734320910 | Annual Report | 2017-02-17 |
| 201734320550 | Statement of Change of Registered/Resident Agent Office | 2017-02-17 |
| 201692013330 | Annual Report | 2016-02-05 |
| 201555469920 | Statement of Change of Registered/Resident Agent Office | 2015-02-23 |
| 201555470070 | Annual Report | 2015-02-21 |
| 201434190480 | Annual Report | 2014-01-23 |
| 201312495070 | Annual Report | 2013-02-23 |
Date of last update: 11 Apr 2025
Sources: Rhode Island Department of State
