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Dermatology Professionals, Inc.

Company Details

Name: Dermatology Professionals, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 05 Nov 2008 (16 years ago)
Identification Number: 000487084
Principal Address: 526 MAIN STREET STE. 302, ACTON, MA, 01720, USA
Purpose: MEDICAL PRACTICE-DERMATOLOGY

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902040835 2009-04-22 2023-02-01 526 MAIN ST STE 302, ACTON, MA, 017203301, US 1672 S COUNTY TRL, EAST GREENWICH, RI, 028181629, US

Contacts

Phone +1 978-371-7010
Fax 9783710522
Phone +1 401-885-7546

Authorized person

Name DR. SAMUEL D GOOS
Role MANAGING PARTNER
Phone 9783717010

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY PROFESSIONALS, INC. 401(K) PROFIT SHARING PLAN 2019 263713398 2020-03-17 DERMATOLOGY PROFESSIONALS, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621399
Sponsor’s telephone number 4018857546
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 101, EAST GREENWICH, RI, 02818
DERMATOLOGY PROFESSIONALS, INC. 401(K) PROFIT SHARING PLAN 2019 263713398 2020-02-12 DERMATOLOGY PROFESSIONALS, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621399
Sponsor’s telephone number 4018857546
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 101, EAST GREENWICH, RI, 02818
DERMATOLOGY PROFESSIONALS, INC. 401(K) PROFIT SHARING PLAN 2018 263713398 2019-05-14 DERMATOLOGY PROFESSIONALS, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621399
Sponsor’s telephone number 4018857546
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 101, EAST GREENWICH, RI, 02818
DERMATOLOGY PROFESSIONALS, INC. 401(K) PROFIT SHARING PLAN 2017 263713398 2018-09-13 DERMATOLOGY PROFESSIONALS, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-15
Business code 621399
Sponsor’s telephone number 4018856647
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 101, EAST GREENWICH, RI, 02818
DERMATOLOGY PROFESSIONALS, INC. 401(K) PROFIT SHARING PLAN 2016 263713398 2017-10-11 DERMATOLOGY PROFESSIONALS, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-15
Business code 621399
Sponsor’s telephone number 4018856647
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 101, EAST GREENWICH, RI, 02818
DERMATOLOGY PROFESSIONALS, INC. 401(K) PROFIT SHARING PLAN 2015 263713398 2016-03-22 DERMATOLOGY PROFESSIONALS, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-15
Business code 621399
Sponsor’s telephone number 4018856647
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 101, EAST GREENWICH, RI, 02818
DERMATOLOGY PROFESSIONALS, INC. 401(K) PROFIT SHARING PLAN 2014 263713398 2015-08-17 DERMATOLOGY PROFESSIONALS, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-15
Business code 621399
Sponsor’s telephone number 4018856647
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 101, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2015-08-17
Name of individual signing NATHANIEL JELLINEK
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, INC. 401(K) PROFIT SHARING PLAN 2013 263713398 2014-06-30 DERMATOLOGY PROFESSIONALS, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-15
Business code 621399
Sponsor’s telephone number 4018856647
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 101, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2014-06-30
Name of individual signing NATHANIEL JELLINEK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
SAMUEL D. GOOS M.D. PRESIDENT 526 MAIN STREET, STE. 302 ACTON, MA 01720 USA

TREASURER

Name Role Address
SAMUEL D. GOOS M.D. TREASURER 526 MAIN STREET, STE. 302 ACTON, MA 01720 USA

SECRETARY

Name Role Address
SAMUEL D. GOOS M.D. SECRETARY 526 MAIN STREET, STE. 302 ACTON, MA 01720 USA

DIRECTOR

Name Role Address
SAMUEL D. GOOS M.D. DIRECTOR 526 MAIN STREET, STE. 302 ACTON, MA 01720 USA

Filings

Number Name File Date
202454218860 Annual Report 2024-05-13
202333188800 Annual Report 2023-04-18
202215900010 Annual Report - Amended 2022-04-27
202215428820 Annual Report 2022-04-21
202105683160 Statement of Change of Registered/Resident Agent 2021-12-02
202199159330 Annual Report 2021-07-08
202196857130 Revocation Notice For Failure to File An Annual Report 2021-05-19
202036298950 Annual Report 2020-04-07
201925084560 Annual Report - Amended 2019-10-23
201923321090 Statement of Change of Registered/Resident Agent 2019-10-07

Date of last update: 13 Oct 2024

Sources: Rhode Island Department of State