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Stephen J. D'Amato, M.D., P.C.

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Company Details

Name: Stephen J. D'Amato, M.D., P.C.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 04 Nov 2009 (16 years ago)
Date of Dissolution: 10 Jun 2024 (a year ago)
Date of Status Change: 10 Jun 2024 (a year ago)
Identification Number: 000517879
ZIP code: 02893
City: West Warwick
County: Kent County
Purpose: PAIN RELIEF THERAPY: TREATING CHRONIC NEUROPATHIC PAIN PATIENTS WITH THE MC-5A MEDICAL DEVICE
Principal Address: Google Maps Logo 771 MAIN STREET, WEST WARWICK, RI, 02893, 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
ROBERT SMITH Agent 103 CINDY ANN DRIVE, EAST GREENWICH, RI, 02818, USA

PRESIDENT

Name Role Address
STEPHEN JOHN DAMATO, MD PRESIDENT 211 QUAKER LANE, SUITE 100 WEST WARWICK, RI 02893 USA

AUTHORIZED REPRESENTATIVE

Name Role Address
ROBERT W. SMITH AUTHORIZED REPRESENTATIVE 211 QUAKER LANE, SUITE 100, 26 WEST WARWICK, RI 02893 UNI

National Provider Identifier

NPI Number:
1205112935

Authorized Person:

Name:
DR. STEPHEN J D'AMATO
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
4012702781

Filings

Number Name File Date
202458208740 Miscellaneous Filing (No Fee) 2024-06-17
202455582960 Revocation Certificate For Failure to Maintain a Registered Office 2024-06-10
202455669210 Miscellaneous Filing (No Fee) 2024-06-06
202454595790 Miscellaneous Filing (No Fee) 2024-05-20
202457601560 Miscellaneous Filing (No Fee) 2024-04-22

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$24,709.17
Date Approved:
2021-02-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,709.17
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$24,838.47
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $24,705.17
Utilities: $1
Jobs Reported:
1
Initial Approval Amount:
$15,800
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$15,800
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$15,966.22
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $15,800

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Date of last update: 12 Jul 2025

Sources: Rhode Island Department of State