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UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC

Company Details

Name: UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 24 Apr 2007 (18 years ago)
Identification Number: 000163427
ZIP code: 02893
County: Kent County
Principal Address: 207 QUAKER LANE 2ND FLOOR, WEST WARWICK, RI, 02893, USA
Purpose: MEDICAL PRACTICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861173320 2023-07-27 2023-07-27 207 QUAKER LN, WEST WARWICK, RI, 028932283, US 207 QUAKER LN, WEST WARWICK, RI, 028932283, US

Contacts

Phone +1 401-828-7110
Fax 4018256029

Authorized person

Name ANGELO CAMBIO
Role CEO
Phone 5852676831

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC RETIREMENT PLAN 2023 208951188 2024-07-09 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4012758110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC RETIREMENT PLAN 2022 208951188 2023-07-13 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4012758110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC RETIREMENT PLAN 2021 208951188 2022-08-23 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4012758110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC RETIREMENT PLAN 2020 208951188 2021-09-09 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4012758110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC RETIREMENT PLAN 2019 208951188 2020-10-09 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4012758110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC RETIREMENT PLAN 2018 020895118 2019-09-06 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4012758110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 401(K) RETIREMENT PLAN 2014 208951188 2015-08-19 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621111
Sponsor’s telephone number 4018287110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893

Signature of

Role Plan administrator
Date 2015-08-19
Name of individual signing JOSEPH C. CAMBIO, M.D.
Valid signature Filed with authorized/valid electronic signature
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 401(K) RETIREMENT PLAN 2013 208951188 2014-06-19 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621111
Sponsor’s telephone number 4018287110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893

Signature of

Role Plan administrator
Date 2014-06-19
Name of individual signing JOSEPH C. CAMBIO, M.D.
Valid signature Filed with authorized/valid electronic signature
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 401(K) RETIREMENT PLAN 2012 208951188 2013-06-05 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621111
Sponsor’s telephone number 4018287110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893

Plan administrator’s name and address

Administrator’s EIN 208951188
Plan administrator’s name UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC
Plan administrator’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
Administrator’s telephone number 4018287110

Signature of

Role Plan administrator
Date 2013-06-05
Name of individual signing JOSEPH C. CAMBIO, M.D.
Valid signature Filed with authorized/valid electronic signature
UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 401(K) RETIREMENT PLAN 2011 208951188 2012-07-26 UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621111
Sponsor’s telephone number 4018287110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893

Plan administrator’s name and address

Administrator’s EIN 208951188
Plan administrator’s name UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC
Plan administrator’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
Administrator’s telephone number 4018287110

Signature of

Role Plan administrator
Date 2012-07-26
Name of individual signing JOSEPH CAMBIO, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/17/20110817104633P040116906449001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621111
Sponsor’s telephone number 4018287110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893

Plan administrator’s name and address

Administrator’s EIN 208951188
Plan administrator’s name UROLOGIC SPECIALISTS OF NEW ENGLAND , LLC
Plan administrator’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
Administrator’s telephone number 4018287110

Signature of

Role Plan administrator
Date 2011-08-17
Name of individual signing JOSEPH CAMBIO, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/16/20100516153023P030057292664001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621111
Sponsor’s telephone number 4018287110
Plan sponsor’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893

Plan administrator’s name and address

Administrator’s EIN 208951188
Plan administrator’s name UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC
Plan administrator’s address 207 QUAKER LANE, WEST WARWICK, RI, 02893
Administrator’s telephone number 4018287110

Signature of

Role Plan administrator
Date 2010-05-16
Name of individual signing JOSEPH CAMBIO, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SUSAN LEACH DEBLASIO, ESQ. Agent ADLER POLLOCK & SHEEHAN P.C. ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA

Manager

Name Role Address
JOSEPH C. CAMBIO Manager 207 QUAKER LANE, 2ND FLOOR WEST WARWICK, RI 02893 USA

Filings

Number Name File Date
202444061180 Annual Report 2024-01-16
202326412310 Annual Report 2023-01-20
202221109090 Annual Report 2022-07-11
202219475280 Revocation Notice For Failure to File An Annual Report 2022-06-22
202103492340 Annual Report 2021-10-18
202073356390 Annual Report 2020-11-04
201925940000 Annual Report 2019-10-28
201878713940 Annual Report 2018-10-02
201752580770 Annual Report 2017-10-31
201609463540 Annual Report 2016-09-27

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State