| Name: | JENKS PARK PEDIATRICS INC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 06 Dec 2019 (5 years ago) |
| Identification Number: | 001702469 |
| ZIP code: | 02863 |
| County: | Providence County |
| Principal Address: | 577 BROAD STREET 1ST FLOOR, CENTRAL FALLS, RI, 02863, USA |
| Purpose: | PROVIDE HEALTH SERVICES IN OUTPATIENT OFFICE |
| NAICS: | 621112 - Offices of Physicians, Mental Health Specialists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679116214 | 2019-10-28 | 2019-10-28 | 577 BROAD ST FL 1, CENTRAL FALLS, RI, 028632837, US | 577 BROAD ST FL 1, CENTRAL FALLS, RI, 028632837, US | |||||||||||||
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| Phone | +1 401-339-7046 |
Authorized person
| Name | DR. BEATA FELICIA NELKEN |
| Role | PRESIDENT / C.E.O. |
| Phone | 4013397046 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JENKS PARK PEDIATRICS 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 842662246 | 2024-06-25 | JENKS PARK PEDIATRICS | 18 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-25 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013397046 |
| Plan sponsor’s address | 577 BROAD ST, CENTRAL FALLS, RI, 028632837 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-19 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BEATA NELKEN | Agent | 577 BROAD STREET, CENTRAL FALLS, RI, 02863, USA |
| Name | Role | Address |
|---|---|---|
| BEATA NELKEN | PRESIDENT | 577 BROAD STREET, 1ST FLOOR CENTRAL FALLS, RI 02863 USA |
| Name | Role | Address |
|---|---|---|
| ERNESTO NOE REGUS | VICE PRESIDENT | 48 GLEN AVE CRANSTON, RI 02905 USA |
| Number | Name | File Date |
|---|---|---|
| 202453906560 | Annual Report | 2024-04-25 |
| 202328786680 | Annual Report | 2023-02-18 |
| 202208840820 | Annual Report | 2022-01-29 |
| 202187624400 | Annual Report | 2021-01-23 |
| 202058981890 | Annual Report | 2020-09-29 |
| 202055258210 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201929548680 | Articles of Incorporation | 2019-12-06 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
