| Name: | NRI Pediatrics PC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 13 Jul 2010 (15 years ago) |
| Identification Number: | 000543295 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 175 NATE WHIPPLE HIGHWAY #102, CUMBERLAND, RI, 02864, USA |
| Purpose: | PEDIATRIC PRACTICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427355791 | 2011-02-22 | 2013-09-06 | 2140 MENDON RD, SUITE 201, CUMBERLAND, RI, 028643833, US | 2140 MENDON RD, SUITE 201, CUMBERLAND, RI, 028643833, US | |||||||||||||||||||
|
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| Phone | +1 401-334-5437 |
| Fax | 4013343571 |
Authorized person
| Name | MICHELLE BORNSTEIN-BENNETT |
| Role | DOCTOR |
| Phone | 4013345437 |
Taxonomy
| Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
| License Number | MD12301 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GEORGE J. WEST, ESQ. | Agent | ONE TURKS HEAD PLACE SUITE 312, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MICHELLE BENNETT | PRESIDENT | 70 HICKORY DRIVE EAST GREENWICH, RI 02818 USA |
| Number | Name | File Date |
|---|---|---|
| 202446487500 | Annual Report | 2024-02-07 |
| 202329905440 | Annual Report | 2023-03-02 |
| 202214401310 | Annual Report | 2022-04-04 |
| 202193054640 | Annual Report | 2021-02-24 |
| 202033825140 | Annual Report | 2020-02-05 |
| 201986235080 | Annual Report | 2019-02-08 |
| 201855977350 | Annual Report | 2018-01-10 |
| 201730832200 | Annual Report | 2017-01-25 |
| 201589911840 | Annual Report | 2015-12-31 |
| 201557868550 | Annual Report | 2015-03-20 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
