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Brown Dermatology, Inc.

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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
City: Providence
County: Providence County
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.
Principal Address: Google Maps Logo 593 EDDY STREET-APC10, PROVIDENCE, RI, 02903, USA

Contact Details

Phone +1 401-444-8511

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

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
ANGELA CALIENDO MD PHD DIRECTOR 390 SHIPPEE ROAD EAST GREENWICH, RI 02818 USA
CHRISTOPHER DIMARCO MD DIRECTOR 38 TAFT AVENUE PROVIDENCE, RI 02906 USA

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
G39BLMEGKCM9
CAGE Code:
8KG47
UEI Expiration Date:
2026-02-03

Business Information

Division Name:
BROWN DERMATOLOGY, INC.
Division Number:
BROWN DERM
Activation Date:
2025-02-05
Initial Registration Date:
2020-04-17

National Provider Identifier

NPI Number:
1730538026

Authorized Person:

Name:
DR. ABRAR QURESHI
Role:
CHAIR
Phone:

Taxonomy:

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

Contacts:

Fax:
4014447105
Fax:
4014447144

Form 5500 Series

Employer Identification Number (EIN):
061475105
Plan Year:
2019
Number Of Participants:
120
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2016
Number Of Participants:
84
Sponsor's telephone number:
Plan Administrator / Signatory:
ABRAR QURESHI(Plan administrator)

Licenses

License No License Type Status Date Issued Expiration Date
LCI01349 Clinical Laboratory - In-State Active 2020-01-01 2025-12-30

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

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2024-12-02
Action:
Continuation

Parties

Party Name:
Brown Dermatology, Inc.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2020-05-26
Action:
InitialFiling

Parties

Party Name:
Brown Dermatology, Inc.
Party Role:
Debtor(s)
Party Name:
SANTANDER BANK, N.A.
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2020-01-31
Action:
InitialFiling

Parties

Party Name:
Brown Dermatology, Inc.
Party Role:
Debtor(s)

Expenditures

Agency Date Program Subprogram Amount
Department of Corrections 2025-05-27 Healthcare Svcs Medical Services 2029.0
Department of Corrections 2025-04-25 Healthcare Svcs Medical Services 2029.0
Department of Corrections 2025-03-28 Healthcare Svcs Medical Services 1951.0
Department of Corrections 2025-02-25 Healthcare Svcs Medical Services 1951.0
Department of Corrections 2025-01-14 Healthcare Svcs Medical Services 1951.0

USAspending Awards / Financial Assistance

Business Type:
NONPROFIT WITH 501C3 IRS STATUS (OTHER THAN AN INSTITUTION OF HIGHER EDUCATION)
Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$1,303,200
Total Face Value Of Loan:
$1,303,200

Tax Exempt

Employer Identification Number (EIN) :
81-2847155
In Care Of Name:
% BROWN DERMATOLOGY INC
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.
Ruling Date:
2016-12
National Taxonomy Of Exempt Entities:
Education: University or Technological Institute
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Paycheck Protection Program

Jobs Reported:
73
Initial Approval Amount:
$1,303,200
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,303,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,317,462.8
Servicing Lender:
Bank Rhode Island
Use of Proceeds:
Payroll: $1,303,200

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Date of last update: 14 Jul 2025

Sources: Rhode Island Department of State