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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
Fictitious names: Ocean State Dermatology (trading name, 2013-06-10 - )

Industry & Business Activity

NAICS

622110 General Medical and Surgical Hospitals

This industry comprises establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services. Learn more at the U.S. Census Bureau

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5030267104 2020-04-13 0165 PPP 300 Jefferson Blvd Suite 305, WARWICK, RI, 02888-3828
Loan Status Date 2021-04-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 99627.9
Loan Approval Amount (current) 99627
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WARWICK, KENT, RI, 02888-3828
Project Congressional District RI-02
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 100548.55
Forgiveness Paid Date 2021-03-22
8876378302 2021-01-30 0165 PPS 300 Jefferson Blvd Ste 305, Warwick, RI, 02888-3860
Loan Status Date 2021-11-23
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59767
Loan Approval Amount (current) 59676
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Warwick, KENT, RI, 02888-3860
Project Congressional District RI-02
Number of Employees 5
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 60078.81
Forgiveness Paid Date 2021-10-06

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State