| Name: | East Coast Primary Care, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 05 Sep 2003 (22 years ago) |
| Date of Dissolution: | 15 Nov 2018 (6 years ago) |
| Date of Status Change: | 15 Nov 2018 (6 years ago) |
| Identification Number: | 000134588 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 300 TOLL GATE ROAD SUITE 101B, WARWICK, RI, 02886, USA |
| Purpose: | TO OPERATE A PHYSICIANS OFFICES |
NAICS
54 Professional, Scientific, and Technical ServicesThe Sector as a Whole Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619954104 | 2005-12-27 | 2020-08-22 | 63 EDDIE DOWLING HWY, SUITE 3, NORTH SMITHFIELD, RI, 028967322, US | 63 EDDIE DOWLING HWY, SUITE 3, NORTH SMITHFIELD, RI, 028967322, US | |||||||||||||||||||
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| Phone | +1 401-766-8200 |
Authorized person
| Name | AFSHIN NASSERI |
| Role | OWNER |
| Phone | 4017668200 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | AN49563 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DAVID N. BAZAR, ESQ. | Agent | 35 HIGHLAND AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| AFSHIN NASSERI | PRESIDENT | 39 CANNON BALL ROAD SHARON, MA 02067- USA |
| Number | Name | File Date |
|---|---|---|
| 201881233280 | Revocation Certificate For Failure to File the Annual Report for the Year | 2018-11-15 |
| 201875504730 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201731299390 | Annual Report | 2017-02-02 |
| 201603892850 | Annual Report | 2016-08-19 |
| 201601462820 | Revocation Notice For Failure to File An Annual Report | 2016-07-07 |
| 201572939060 | Annual Report | 2015-08-11 |
| 201441918110 | Annual Report | 2014-06-25 |
| 201439505810 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201314269930 | Annual Report | 2013-03-21 |
| 201288554050 | Annual Report | 2012-01-26 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4248795007 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | No data | No data | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||
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Date of last update: 11 Apr 2025
Sources: Rhode Island Department of State
