Search icon

Northeast Internal Medicine, Inc.

Company Details

Name: Northeast Internal Medicine, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 05 Jun 2007 (18 years ago)
Identification Number: 000164304
ZIP code: 02860
County: Providence County
Purpose: PRACTICE OF MEDICINE
Principal Address: Google Maps Logo 126 PROSPECT STREET SUITE 205, PAWTUCKET, RI, 02860, 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
SADIA IFTIKHAR Agent 126 PROSPECT STREET, PAWTUCKET, RI, 02860, USA

VICE PRESIDENT

Name Role Address
JIAYING WEN VICE PRESIDENT 126 PROSPECT STREET PAWTUCKET, RI 02860 USA

PRESIDENT

Name Role Address
SADIA IFTIKHAR PRESIDENT 126 PROSPECT STREET PAWTUCKET, RI 02860 USA

National Provider Identifier

NPI Number:
1376746156
Certification Date:
2024-03-11

Authorized Person:

Name:
DR. SADIA IFTIKHAR
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4017258868

Form 5500 Series

Employer Identification Number (EIN):
651307207
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Number Name File Date
202446952710 Annual Report 2024-02-21
202326445200 Annual Report 2023-01-23
202208684730 Annual Report 2022-01-26
202187810380 Annual Report 2021-01-26
202034819940 Annual Report 2020-02-20

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
89500.00
Total Face Value Of Loan:
89500.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
89500
Current Approval Amount:
89500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
90350.86

Date of last update: 28 May 2025

Sources: Rhode Island Department of State