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  5. OCEAN STATE DERMATOLOGY, INC.

OCEAN STATE DERMATOLOGY, INC.

Company Details

Name: OCEAN STATE DERMATOLOGY, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 10 Jun 2013 (12 years ago)
Identification Number: 000799617
ZIP code: 02806
County: Bristol County
Principal Address: 268 NAYATT ROAD, BARRINGTON, RI, 02806, USA
Purpose: DERMATOLOGY
NAICS: 622110 - General Medical and Surgical Hospitals
Fictitious names: Ocean State Dermatology (trading name, 2013-06-10 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780024687 2013-06-25 2013-11-13 300 JEFFERSON BLVD, SUITE #305, WARWICK, RI, 028883888, US 300 JEFFERSON BLVD, SUITE #305, WARWICK, RI, 028883888, US

Contacts
Phone +1 401-739-7545
Fax 4017397544
Phone +1 401-739-7546

Authorized person
Name DR. DANA P. HALL
Role OWNER
Phone 4017397546

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number MD11167
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2023 462939626 2024-09-30 OCEAN STATE DERMATOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4017397546
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2022 462939626 2023-09-26 OCEAN STATE DERMATOLOGY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4017397546
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2021 462939626 2022-07-25 OCEAN STATE DERMATOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4017397546
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2020 462939626 2021-02-26 OCEAN STATE DERMATOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4017397546
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2019 462939626 2020-05-29 OCEAN STATE DERMATOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4017397546
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2018 462939626 2019-04-15 OCEAN STATE DERMATOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4017397546
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2017 462939626 2018-07-10 OCEAN STATE DERMATOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4017397546
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2016 462939626 2017-04-03 OCEAN STATE DERMATOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4017397546
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2015 462939626 2016-03-10 OCEAN STATE DERMATOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886
OCEAN STATE DERMATOLOGY, INC. 401(K) PROFIT SHARING PLAN 2014 462939626 2015-07-27 OCEAN STATE DERMATOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4012454752
Plan sponsor’s address 300 JEFFERSON BOULEVARD, SUITE 305, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DANA HALL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN J. DIGIANFILIPPO, ESQ. Agent 50 PARK ROW WEST SUITE 107, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
DANA P HALL MD PRESIDENT 268 NAYATT ROAD BARRINGTON, RI 02806 USA

Filings

Number Name File Date
202450687480 Annual Report 2024-04-10
202450687390 Statement of Change of Registered Office by the Registered Agent 2024-04-10
202329258870 Annual Report 2023-02-23
202213024600 Annual Report 2022-03-11
202192742340 Annual Report 2021-02-22
202033826930 Annual Report 2020-02-04
201986718420 Annual Report 2019-02-14
201858194150 Annual Report 2018-02-09
201734121760 Annual Report 2017-02-15
201692388050 Annual Report 2016-02-12

Related by officers

STEPHEN J. DIGIANFILIPPO, ESQ.

Atlas Barrel and Pallet, Inc. Aud-War Realty Co., Inc. R. A. BERNARD ENTERPRISES, INC. Maggiacomo Insurance Agency, Inc. MARR OFFICE EQUIPMENT, INC. D. PALMIERI'S BAKERY, INC. Neill F. Coffey, Inc. JAQUES, LTD. TRI-JAY CO. TCS Holdings, Inc.

Related by address

268 NAYATT ROAD, BARRINGTON, RI, 02806, USA

BARRINGTON GROUP, INC., THE

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State

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