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SURGICAL AND COSMETIC DERMATOLOGY OF RHODE ISLAND, LLC

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Company Details

Name: SURGICAL AND COSMETIC DERMATOLOGY OF RHODE ISLAND, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 01 Jul 2004 (21 years ago)
Identification Number: 000141358
ZIP code: 02904
City: Providence
County: Providence County
Purpose: SURGICAL AND COSMETIC DERMATOLOGY PRACTICE
Principal Address: Google Maps Logo 1 RANDALL SQUARE SUITE 306 A/P M. KUPERMAN-BEADE MD, PROVIDENCE, RI, 02904, USA
Mailing Address: Google Maps Logo 1 RANDALL SQUARE SUITE306, PROVIDENCE, RI, 02904, USA

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

Agent

Name Role Address
MARINA KUPERMAN-BEADE, MD Agent 1 RANDALL SQUARE SUITE 306, PROVIDENCE, RI, 02904, USA

MANAGER

Name Role Address
MARINA KUPERMAN BEADE MANAGER ONE RANDALL SQUARE, SUITE 306 PROVIDENCE, RI 02904 USA

National Provider Identifier

NPI Number:
1770770547

Authorized Person:

Name:
DR. MARINA KUPERMAN-BEADE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4017516888

Form 5500 Series

Employer Identification Number (EIN):
201323817
Plan Year:
2023
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MARINA KUPERMAN-BEADE(Plan administrator)
Plan Year:
2022
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MARINA KUPERMAN-BEADE(Plan administrator)
Plan Year:
2021
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MARINA KUPERMAN-BEADE(Plan administrator)
Plan Year:
2021
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MARINA KUPERMAN-BEADE(Plan administrator)

Filings

Number Name File Date
202450061730 Annual Report 2024-04-03
202448186690 Statement of Change of Registered/Resident Agent 2024-03-08
202336329020 Annual Report 2023-05-30
202217808350 Annual Report 2022-05-25
202103787590 Annual Report 2021-10-25

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-04-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
$9,000
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
SMALL BUSINESS
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$89,400
Total Face Value Of Loan:
$89,400

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$89,400
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$89,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$90,470.35
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $89,400

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Date of last update: 11 Jul 2025

Sources: Rhode Island Department of State