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  5. Brown Dermatology, Inc.

Brown Dermatology, Inc.

Company Details

Name: Brown Dermatology, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 08 Jun 2016 (9 years ago)
Identification Number: 001663984
ZIP code: 02903
County: Providence County
Principal Address: 593 EDDY STREET-APC10, PROVIDENCE, RI, 02903, USA
Purpose: TO PROMOTE HEALTH BY PROVIDING CLINICAL AND MEDICAL CARE TO PATIENTS AS THE FACULTY GROUP PRACTICE ORGANIZATION FOR THE DEPARTMENT OF DERMATOLOGY AT THE WARREN ALPERT MEDICAL SCHOOL AT BROWN UNIVERSITY (ALPERT MEDICAL SCHOOL); TO OPERATE THE CLINICAL AND PATIENT CARE SERVICES OF THE FACULTY GROUP PRACTICE ORGANIZATION FOR THE BENEFIT AND SUPPORT OF THE TEACHING, RESEARCH, CLINICAL, AND PATIENT CARE MISSIONS OF THE DEPARTMENT OF DERMATOLOGY AT THE ALPERT MEDICAL SCHOOL AND HOSPITALS WITHIN THE STATE OF RHODE ISLAND THAT ARE AFFILIATED WITH THE ALPERT MEDICAL SCHOOL; TO ENGAGE IN RESEARCH, EDUCATION OF MEDICAL STUDENTS AT THE ALPERT MEDICAL SCHOOL, AND EDUCATION OF MEDICAL SCHOOL GRADUATES IN POSTGRADUATE TRAINING PROGRAMS AT HOSPITALS WITHIN THE STATE OF RHODE ISLAND THAT ARE AFFILIATED WITH THE ALPERT MEDICAL SCHOOL; AND TO PROVIDE ADMINISTRATIVE SERVICES TO THE DEPARTMENT OF DERMATOLOGY AT THE ALPERT MEDICAL SCHOOL AND TO DERMATOLOGY DEPARTMENTS AT HOSPITALS WITHIN THE STATE OF RHODE ISLAND THAT ARE AFFILIATED WITH THE ALPERT MEDICAL SCHOOL.

Industry & Business Activity

NAICS

622310 Specialty (except Psychiatric and Substance Abuse) Hospitals

This industry comprises establishments known and licensed as specialty hospitals primarily engaged in providing diagnostic and medical treatment to inpatients with a specific type of disease or medical condition (except psychiatric or substance abuse). Hospitals providing long-term care for the chronically ill and hospitals providing rehabilitation, restorative, and adjustive services to physically challenged or disabled people are included in this industry. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. They have an organized staff of physicians and other medical staff to provide patient care services. These hospitals may provide other services, such as outpatient services, diagnostic X-ray services, clinical laboratory services, operating room services, physical therapy services, educational and vocational services, and psychological and social work services. Learn more at the U.S. Census Bureau

Companies doing Specialty (except psychiatric and substance abuse) hospitals

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730538026 2016-06-07 2018-06-29 593 EDDY ST, APC-10, PROVIDENCE, RI, 029034923, US 593 EDDY ST, APC-10, PROVIDENCE, RI, 029034923, US

Contacts
Phone +1 401-444-7959
Fax 4014447105
Fax 4014447144

Authorized person
Name DR. ABRAR QURESHI
Role CHAIR
Phone 4014447137

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary No
Taxonomy Code 207ND0900X - Dermatopathology Physician
Is Primary No
Taxonomy Code 207NP0225X - Pediatric Dermatology Physician
Is Primary No
Taxonomy Code 207NS0135X - Procedural Dermatology Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROWN DERMATOLOGY INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 061475105 2020-08-07 BROWN DERMATOLOGY INC. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014442595
Plan sponsor’s address 593 EDDY ST, PROVIDENCE, RI, 02903
BROWN DERMATOLOGY INC 401 K PROFIT SHARING PLAN TRUST 2016 812847155 2017-06-26 BROWN DERMATOLOGY INC 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014442595
Plan sponsor’s address 593 EDDY STREET 10TH FLOOR, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing ABRAR QURESHI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MICHAEL A. GAMBOLL, ESQ. Agent PARTRIDGE SNOW & HAHN LLP 40 WESTMINSTER ST SUITE 1100, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
ABRAR A QURESHI MD,MPH PRESIDENT 24 HALLETT HILL ROAD WESTON, MA 02493 USA

TREASURER

Name Role Address
ABRAR A QURESHI MD MPH TREASURER 24 HALLETT HILL ROAD WESTON, MA 02493 USA

SECRETARY

Name Role Address
NICOLE GRENIER MD SECRETARY 451 GILBERT STUART ROAD SAUNDERSTOWN, RI 02874 USA

VICE PRESIDENT

Name Role Address
SU-JEAN SEO MD VICE PRESIDENT 21 BARNES STREET PROVIDENCE, RI 02906 USA

DIRECTOR

Name Role Address
MUKESH JAIN MD DIRECTOR 580 SOUTH WATER ST. APT 509 PROVIDENCE, RI 02903 USA
JON SOLIS MD DIRECTOR 1 STARVIEW LANE WESTERLY, RI 02891 USA
KIMBERLY A GALLIGAN MBA DIRECTOR 50 SPENCER AVENUE EAST GREENWICH, RI 02818 USA
SU-JEAN SEO MD DIRECTOR 21 BARNES STREET PROVIDENCE, RI 02906 USA
LESLIE ROBINSON-BOSTOM DIRECTOR 130 GOLDMINE RD GLOCESTER, RI 02814 USA

Filings

Number Name File Date
202447900440 Annual Report 2024-03-06
202327571890 Annual Report 2023-02-06
202213377120 Annual Report 2022-03-24
202197845730 Annual Report 2021-06-07
202041279410 Annual Report 2020-06-02
201995169590 Annual Report 2019-05-31
201872824570 Annual Report 2018-07-25
201872338680 Statement of Change of Registered/Resident Agent 2018-07-12
201746798110 Annual Report 2017-06-30
201600343120 Articles of Incorporation 2016-06-08

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
81-2847155 Corporation Unconditional Exemption 110 ELM ST, PROVIDENCE, RI, 02903-4626 2016-12
In Care of Name % BROWN DERMATOLOGY INC
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-09
Asset 5,000,000 to 9,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 6556190
Income Amount 18227946
Form 990 Revenue Amount 18227946
National Taxonomy of Exempt Entities Education: University or Technological Institute
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter
Final Letter(s) FinalLetter_81-2847155_BROWNDERMATOLOGYINC_08312016.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name BROWN DERMATOLOGY INC
EIN 81-2847155
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name BROWN DERMATOLOGY INC
EIN 81-2847155
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name BROWN DERMATOLOGY INC
EIN 81-2847155
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name BROWN DERMATOLOGY INC
EIN 81-2847155
Tax Period 201709
Filing Type P
Return Type 990
File View File
Organization Name BROWN DERMATOLOGY INC
EIN 81-2847155
Tax Period 201609
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9783687006 2020-04-09 0165 PPP 593 EDDY ST APC 10, PROVIDENCE, RI, 02903-4900
Loan Status Date 2021-06-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1303200
Loan Approval Amount (current) 1303200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120245
Servicing Lender Name Bank Rhode Island
Servicing Lender Address One Turks Head Place, PROVIDENCE, RI, 02903-2219
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PROVIDENCE, PROVIDENCE, RI, 02903-4900
Project Congressional District RI-02
Number of Employees 73
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 120245
Originating Lender Name Bank Rhode Island
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1317462.8
Forgiveness Paid Date 2021-05-21

Related by officers

MUKESH JAIN MD

The Rhode Island Quality Institute Brown Physicians, Inc.

Related by address

No related companies by address

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State

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