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  5. Brown Urology, Inc.

Brown Urology, Inc.

Company Details

Name: Brown Urology, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 07 Apr 2017 (8 years ago)
Identification Number: 001672642
ZIP code: 02905
County: Providence County
Principal Address: 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02905, USA
Purpose: TO PROMOTE HEALTH BY PROVIDING CLINICAL AND MEDICAL CARE TO PATIENTS AS THE FACULTY GROUP PRACTICE ORGANIZATION FOR THE DEPARTMENT OF UROLOGY AT THE WARREN ALPERT MEDICAL SCHOOL AT BROWN UNIVERSITY
Fictitious names: Collyer Street Operatory, Inc. (trading name, 2018-04-23 - )

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

Companies doing General medical and surgical hospitals

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184303984 2023-07-18 2023-08-01 110 ELM ST FL 3, PROVIDENCE, RI, 029034626, US 825 N MAIN ST, PROVIDENCE, RI, 029045767, US

Contacts
Phone +1 401-270-4623
Fax 4015377241
Phone +1 401-521-9700

Authorized person
Name DONNA GORDON
Role DIRECTOR, REVENUE CYCLE
Phone 4014435107

Taxonomy
Taxonomy Code 2085R0001X - Radiation Oncology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY UROLOGICAL ASSOCIATES, INC 401K RETIREMENT PLAN 2021 061470514 2022-05-09 BROWN UROLOGY INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET, SUITE 201, PROVIDENCE, RI, 02904
UNIVERSITY UROLOGICAL ASSOCIATES, INC 401K RETIREMENT PLAN 2021 061470514 2022-08-24 BROWN UROLOGY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET, SUITE 201, PROVIDENCE, RI, 02904
UNIVERSITY UROLOGICAL ASSOCIATES, INC 401K RETIREMENT PLAN 2020 061470514 2021-05-18 BROWN UROLOGY INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET, SUITE 201, PROVIDENCE, RI, 02904
UNIVERSITY UROLOGICAL ASSOCIATES, INC 401K RETIREMENT PLAN 2019 061470514 2020-07-29 BROWN UROLOGY INC. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET, SUITE 201, PROVIDENCE, RI, 02904
UNIVERSITY UROLOGICAL ASSOCIATES, INC 401K RETIREMENT PLAN 2018 061470514 2019-07-25 BROWN UROLOGY INC. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET, SUITE 201, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2019-07-25
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-25
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
SAMUEL EASTON M.D. TREASURER 195 COLLYER STREET, STE. 201 PROVIDENCE, RI 02905 USA

SECRETARY

Name Role Address
SIMONE THAVASEELAN M.D. SECRETARY 195 COLLYER STREET, STE. 201 PROVIDENCE, RI 02905 USA

PRESIDENT

Name Role Address
GYAN PAREEK MD PRESIDENT 195 COLLYER STREET, SUITE 201 PROVIDENCE, RI 02905 USA

DIRECTOR

Name Role Address
GYAN PAREEK M.D. DIRECTOR 195 COLLYER STREET, STE. 201 PROVIDENCE, RI 02905 USA
GABRIELLA AVELLINO M.D. DIRECTOR 195 COLLYER STREET, STE. 201 PROVIDENCE, RI 02905 USA
SIMONE THAVASEELAN M.D. DIRECTOR 195 COLLYER STREET, STE. 201 PROVIDENCE, RI 02905 USA
DICKEN KO M.D. DIRECTOR 195 COLLYER STREET, STE. 201 PROVIDENCE, RI 02905 USA
SAMUEL EASTON M.D. DIRECTOR 195 COLLYER STREET, STE. 201 PROVIDENCE, RI 02905 USA

Events

Type Date Old Value New Value
Merged 2018-01-29 University Urological Associates, Inc. on Brown Urology, Inc.

Filings

Number Name File Date
202450219960 Annual Report 2024-04-05
202332052030 Annual Report 2023-03-30
202221581120 Annual Report 2022-07-22
202220506980 Revocation Notice For Failure to File An Annual Report 2022-06-28
202198849610 Annual Report 2021-06-30
202066510080 Annual Report 2020-10-20
201998225590 Annual Report 2019-06-20
201867717230 Annual Report 2018-05-29
201862682290 Fictitious Business Name Statement 2018-04-23
201856982470 Articles of Merger 2018-01-29

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
BPA CALL AWARD 36C24125N0621 2025-04-01 2026-03-31 2026-03-31
Unique Award Key CONT_AWD_36C24125N0621_3600_36C24123A0033_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 5000.00
Current Award Amount 5000.00
Potential Award Amount 5000.00

Description
Title BROWN UROLOGICAL AFFILIATE
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q301: REFERENCE LABORATORY TESTING

Recipient Details
Recipient BROWN UROLOGY INC
UEI QDFLETAA3HH5
Recipient Address UNITED STATES, 2 DUDLEY ST STE 175/185, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029053236
DEFINITIVE CONTRACT AWARD 36C24124C0031 2024-02-01 2025-01-31 2025-01-31
Unique Award Key CONT_AWD_36C24124C0031_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 325398.00
Current Award Amount 325398.00
Potential Award Amount 325398.00

Description
Title UROLOGY PHYSICIAN SERVICES
NAICS Code 611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product and Service Codes Q525: MEDICAL- UROLOGY

Recipient Details
Recipient BROWN UROLOGY INC
UEI QDFLETAA3HH5
Recipient Address UNITED STATES, 2 DUDLEY ST STE 175/185, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029053236
BPA CALL AWARD 36C24123N0355 2023-04-01 2024-03-31 2024-03-31
Unique Award Key CONT_AWD_36C24123N0355_3600_36C24123A0033_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 3150.00
Current Award Amount 3150.00
Potential Award Amount 3150.00

Description
Title FERTILITY TESTING WITH LOCAL AFFILIATED HOSPITAL
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q301: REFERENCE LABORATORY TESTING

Recipient Details
Recipient BROWN UROLOGY INC
UEI QDFLETAA3HH5
Recipient Address UNITED STATES, 2 DUDLEY ST STE 175/185, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029053236

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
82-1512459 Corporation Unconditional Exemption 110 ELM ST, PROVIDENCE, RI, 02903-4626 2018-02
In Care of Name -
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 Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
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 10412671
Income Amount 18271706
Form 990 Revenue Amount 18271706
National Taxonomy of Exempt Entities Health Care: Hospitals and Related Primary Medical Care Facilities
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_82-1512459_BROWNUROLOGYINC_06292017_02.tif
FinalLetter_82-1512459_BROWNUROLOGYINC_06292017_01.tif
FinalLetter_82-1512459_BROWNUROLOGYINC_06292017_03.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name BROWN UROLOGY INC
EIN 82-1512459
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name BROWN UROLOGY INC
EIN 82-1512459
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name BROWN UROLOGY
EIN 82-1512459
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name BROWN UROLOGY INC
EIN 82-1512459
Tax Period 201809
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
2739477210 2020-04-16 0165 PPP 75 NEWMAN AVE, RUMFORD, RI, 02916-3606
Loan Status Date 2021-08-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1077400
Loan Approval Amount (current) 1077400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 98258
Servicing Lender Name HarborOne Bank
Servicing Lender Address 770 Oak St, BROCKTON, MA, 02301-1100
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address RUMFORD, PROVIDENCE, RI, 02916-3606
Project Congressional District RI-01
Number of Employees 68
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 98258
Originating Lender Name HarborOne Bank
Originating Lender Address BROCKTON, MA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1090240.25
Forgiveness Paid Date 2021-06-30

Related by officers

STEPHEN D. ZUBIAGO, ESQ.

Nicholas A. Califano, M.D., Inc. CARDIOLOGY ASSOCIATES, INC. MIRIAM IPA, INC. ORTHOPEDIC GROUP, INC. Bayside Endoscopy Group, Inc. Mobile Storage Inc. H & H TRUCKING INC. MIRIAM PHO, INC. Bayside OB-GYN, Inc. West Bay Orthopaedics and Neurosurgery, Inc.

GYAN PAREEK MD

University Urological Associates, Inc. BAY AREA MOBILE MEDICAL, LLC University Urology Research and Education Foundation Brown Physicians, Inc. Zested Research Institute

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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