| Name: | Narragansett Pulmonary Medicine LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 13 May 2017 (8 years ago) |
| Date of Dissolution: | 28 Feb 2023 (2 years ago) |
| Date of Status Change: | 28 Feb 2023 (2 years ago) |
| Identification Number: | 001673759 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 10 HIGH STREET SUITE A, SOUTH KINGSTOWN, RI, 02879, USA |
| Purpose: | MEDICAL / DOCTOR OFFICE, PROVIDE OUT PATIENT CARE |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801323183 | 2017-05-17 | 2022-07-21 | 10 HIGH ST STE A, SOUTH KINGSTOWN, RI, 028793176, US | 10 HIGH ST STE A, SOUTH KINGSTOWN, RI, 028793176, US | |||||||||||||||||||||||||
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| Phone | +1 401-213-3299 |
| Phone | +1 302-333-7854 |
Authorized person
| Name | DR. MUHAMMAD B BOSTAJI |
| Role | OWNER/PROVIDER/PHYSICIAN |
| Phone | 4012133299 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 12302 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1609875046 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| MUHAMMAD B. BOSTAJI | Agent | 10 HIGH STREET SUITE A, SOUTH KINGSTOWN, RI, 02879, USA |
| Number | Name | File Date |
|---|---|---|
| 202329564610 | Articles of Dissolution | 2023-02-28 |
| 202326212460 | Annual Report | 2023-01-19 |
| 202208345280 | Annual Report | 2022-01-20 |
| 202101265900 | Annual Report | 2021-09-12 |
| 202058572250 | Annual Report | 2020-09-27 |
| 201920719610 | Annual Report | 2019-09-19 |
| 201874454450 | Annual Report | 2018-08-14 |
| 201749508040 | Statement of Change of Registered/Resident Agent Office | 2017-09-11 |
| 201747655980 | Articles of Amendment | 2017-07-26 |
| 201743174890 | Articles of Organization | 2017-05-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4189897309 | 2020-04-29 | 0165 | PPP | 10 high st A, SOUTH KINGSTOWN, RI, 02879 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
