| Name: | Ocean State Primary, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 13 Jun 2018 (7 years ago) |
| Identification Number: | 001685370 |
| Principal Address: | 1 DIAMOND HILL ROAD, BERKELEY HEIGHTS, NJ, 07922, USA |
| Purpose: | HEALTHCARE SERVICES INCLUDING PRIMARY MEDICAL SERVICES |
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 | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154807717 | 2018-07-17 | 2018-07-17 | 2130 MENDON RD STE 3-333, CUMBERLAND, RI, 028643844, US | 300 TOLL GATE RD STE 101B, WARWICK, RI, 028864447, US | |||||||||||||||||||||||
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| Phone | +1 401-353-1012 |
| Phone | +1 401-921-5855 |
Authorized person
| Name | JENNIFER ZUBA |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 4016262748 |
Taxonomy
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT CRAUSMAN MD | Manager | 2130 MENDON ROAD CUMBERLAND, RI 02864 USA |
| Number | Name | File Date |
|---|---|---|
| 202453831060 | Annual Report | 2024-05-03 |
| 202334665580 | Annual Report | 2023-04-29 |
| 202215880880 | Annual Report | 2022-04-27 |
| 202208251040 | Annual Report | 2022-01-20 |
| 202106661220 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202105575320 | Statement of Change of Registered/Resident Agent | 2021-11-30 |
| 202075397940 | Annual Report | 2020-11-16 |
| 202032773370 | Annual Report | 2020-01-21 |
| 202032786550 | Statement of Change of Registered/Resident Agent | 2020-01-21 |
| 201869522030 | Articles of Organization | 2018-06-13 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
