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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
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 - )
Principal Address: Google Maps Logo 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02905, USA

Contact Details

Phone +1 401-276-2004
+1 401-421-0710

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

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

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
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
ELIAS HYAMS M.D. DIRECTOR 195 COLLYER STREET, STE. 201 PROVIDENCE, RI 02905 USA

SECRETARY

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

National Provider Identifier

NPI Number:
1184303984
Certification Date:
2023-08-01

Authorized Person:

Name:
DONNA GORDON
Role:
DIRECTOR, REVENUE CYCLE
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
4015377241

Form 5500 Series

Employer Identification Number (EIN):
061470514
Plan Year:
2021
Number Of Participants:
90
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
101
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
99
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
99
Sponsors Telephone Number:

Events

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

Licenses

License No License Type Status Date Issued Expiration Date
LCI01790 Clinical Laboratory - In-State Active 2024-12-19 2026-12-30
RAD0290 Radiology Facility Active 2023-01-18 2025-08-31

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

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 AMENDMENT
UCC Filing Number:
Filing Date:
2021-02-01
Action:
DebtorAdd

Parties

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

Expenditures

Agency Date Program Subprogram Amount
Office of the General Treasurer 2022-10-07 CRIME VICTIM COMPENSATION PROGRAM Operations 2200.0

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24125N0621
Award Or Idv Flag:
AWARD
Award Type:
BPA CALL
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2025-04-01
Total Dollars Obligated:
5000.00
Current Total Value Of Award:
5000.00
Potential Total Value Of Award:
5000.00
Description:
BROWN UROLOGICAL AFFILIATE
Naics Code:
621511: MEDICAL LABORATORIES
Product Or Service Code:
Q301: REFERENCE LABORATORY TESTING
Procurement Instrument Identifier:
36C24124N0513
Award Or Idv Flag:
AWARD
Award Type:
BPA CALL
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-04-01
Total Dollars Obligated:
4755.00
Current Total Value Of Award:
4755.00
Potential Total Value Of Award:
4755.00
Description:
BROWN UROLOGICAL AFFILIATE
Naics Code:
621511: MEDICAL LABORATORIES
Product Or Service Code:
Q301: MEDICAL- LABORATORY TESTING
Procurement Instrument Identifier:
36C24124C0031
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-02-01
Total Dollars Obligated:
325398.00
Current Total Value Of Award:
325398.00
Potential Total Value Of Award:
325398.00
Description:
UROLOGY PHYSICIAN SERVICES
Naics Code:
611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product Or Service Code:
Q525: MEDICAL- UROLOGY

USAspending Awards / Financial Assistance

Date:
2020-06-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1077400.00
Total Face Value Of Loan:
1077400.00

Tax Exempt

Employer Identification Number (EIN) :
82-1512459
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)
Ruling Date:
2018-02
National Taxonomy Of Exempt Entities:
Health Care: Hospitals and Related Primary Medical Care Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Paycheck Protection Program

Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1077400
Current Approval Amount:
1077400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1090240.25

Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State