Name: | New York Medical Consultants, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 03 Nov 2008 (16 years ago) |
Date of Dissolution: | 01 Feb 2019 (6 years ago) |
Date of Status Change: | 01 Feb 2019 (6 years ago) |
Identification Number: | 000487049 |
ZIP code: | 02917 |
County: | Providence County |
Principal Address: | 15 WATERVIEW DRIVE APT. F, SMITHFIELD, RI, 02917, USA |
Purpose: | MEDICAL PRACTICE *****THIS IS A PROFESSIONAL SERVICE CORPORTION UNDER R.I.GEN LAWS 7-5.1-2 Title: 7-1.2-1701 |
NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1477708949 | 2008-11-24 | 2014-03-10 | 15 WATERVIEW DR APT F, SMITHFIELD, RI, 029171767, US | 25 JOHN A CUMMINGS WAY, BOX # 3, WOONSOCKET, RI, 028953224, US | |||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 401-885-2131 |
Fax | 4018852131 |
Phone | +1 401-766-6066 |
Fax | 4017666672 |
Authorized person
Name | DR. AYMAN ATTIA-ALLA |
Role | PRESIDENT |
Phone | 4018852131 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | NE73604 |
State | RI |
Issuer | RR MEDICARE |
Number | DO3247 |
Issuer | TUFTS HEALTH PLAN |
Number | 692871 |
State | RI |
Issuer | MEDICAID |
Number | 110081863A |
State | MA |
Name | Role | Address |
---|---|---|
AYMAN Z. ATTIA-ALLA | Agent | 15 WATERVIEW DR APT F, SMITHFIELD, RI, 02917, USA |
Name | Role | Address |
---|---|---|
AYMAN AZZIA ALLA | PRESIDENT | 15 WATERVIEW DRIVE APT F SMITHFIELD, RI 02917 USA |
Number | Name | File Date |
---|---|---|
201985767410 | Articles of Dissolution | 2019-02-01 |
201985767140 | Annual Report | 2019-02-01 |
201985767230 | Annual Report | 2019-02-01 |
201985766800 | Reinstatement | 2019-02-01 |
201752801370 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-11-02 |
201747823820 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
201695416390 | Annual Report | 2016-03-30 |
201554536380 | Annual Report | 2015-02-02 |
201434558370 | Annual Report | 2014-01-30 |
201312719220 | Annual Report | 2013-02-25 |
Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State