Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Kent County
    4. ›
  4. 02889
    5. ›
  5. BAYSIDE ENDOCRINOLOGY, INC.

BAYSIDE ENDOCRINOLOGY, INC.

Company Details

Name: BAYSIDE ENDOCRINOLOGY, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 20 Mar 2006 (19 years ago)
Identification Number: 000154593
ZIP code: 02889
County: Kent County
Principal Address: 44 BLACKSTONE AVENUE, WARWICK, RI, 02889, USA
Purpose: TO PROVIDE MEDICAL SERVICES
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285839142 2007-06-19 2007-12-13 470 TOLL GATE RD, SUITE 202, WARWICK, RI, 028862741, US 470 TOLL GATE RD, SUITE 202, WARWICK, RI, 028862741, US

Contacts
Phone +1 401-737-1485

Authorized person
Name NATHALIE CAMPBELL
Role OWNER
Phone 4017371485

Taxonomy
Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2019 026874107 2020-07-07 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2019 026874107 2020-09-28 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Signature of
Role Plan administrator
Date 2020-09-28
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2018 026874107 2019-06-12 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2017 026874107 2018-04-29 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2018-04-29
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2016 026874107 2017-06-26 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2015 026874107 2016-09-17 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2016-09-17
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2014 026874107 2015-07-13 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2015-07-13
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2013 026874107 2014-07-20 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2014-07-20
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2012 026874107 2013-07-10 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 390 TOLLGATE ROAD, SUITE 103, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
BAYSIDE ENDOCRINOLOGY, INC. 401(K) P/S PLAN 2011 026874107 2012-10-10 BAYSIDE ENDOCRINOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 470 TOLLGATE ROAD, SUITE 202, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 470 TOLLGATE ROAD, SUITE 202, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017151253P040696475376001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 470 TOLLGATE ROAD, SUITE 202, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 470 TOLLGATE ROAD, SUITE 202, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 470 TOLLGATE ROAD, SUITE 202, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 470 TOLLGATE ROAD, SUITE 202, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/06/20101006150957P030011674785001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4017371485
Plan sponsor’s address 470 TOLLGATE ROAD, SUITE 202, WARWICK, RI, 028862741

Plan administrator’s name and address
Administrator’s EIN 026874107
Plan administrator’s name BAYSIDE ENDOCRINOLOGY, INC.
Plan administrator’s address 470 TOLLGATE ROAD, SUITE 202, WARWICK, RI, 028862741
Administrator’s telephone number 4017371485

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing NATHALIE CAMPBELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARYANNE BEVANS, ESQ. Agent 797 BALD HILL ROAD, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
NATHALIE A. CAMPBELL MD PRESIDENT 44 BLACKSTONE AVENUE WARWICK, RI 02889 USA

Filings

Number Name File Date
202452755150 Annual Report 2024-04-23
202332730640 Annual Report 2023-04-10
202212726640 Annual Report 2022-03-04
202196165460 Statement of Change of Registered/Resident Agent 2021-05-03
202192818810 Annual Report 2021-02-22
202034007680 Annual Report 2020-02-07
201986601920 Annual Report 2019-02-13
201857530850 Annual Report 2018-01-31
201730771680 Annual Report 2017-01-24
201691004780 Annual Report 2016-01-19

Related by officers

MARYANNE BEVANS, ESQ.

RUSSELL J. BOYLE & SON FUNERAL HOME, INC. BRENNAN ORTHODONTICS, INC. THE CNP CORPORATION D & L Shooting Supplies, Inc. DANCE FIRST, LTD. Fielding Mfg. - Zinc Diecasting, Inc. ANDOLFO REAL ESTATE, INC. Kent County Land Company PRECISION HOME BUILDERS, INC. VALLEY FARM ICE CREAM DISTRIBUTORS, INC.

Related by address

44 BLACKSTONE AVENUE, WARWICK, RI, 02889, USA

NEW CENTURY ASSISTED LIVING

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated