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JENKS PARK PEDIATRICS INC

Company Details

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
Purpose: PROVIDE HEALTH SERVICES IN OUTPATIENT OFFICE
Principal Address: Google Maps Logo 577 BROAD STREET 1ST FLOOR, CENTRAL FALLS, RI, 02863, USA

Industry & Business Activity

NAICS

621112 Offices of Physicians, 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 psychiatry or psychoanalysis. 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

Agent

Name Role Address
BEATA NELKEN Agent 577 BROAD STREET, CENTRAL FALLS, RI, 02863, USA

PRESIDENT

Name Role Address
BEATA NELKEN PRESIDENT 577 BROAD STREET, 1ST FLOOR CENTRAL FALLS, RI 02863 USA

VICE PRESIDENT

Name Role Address
ERNESTO NOE REGUS VICE PRESIDENT 48 GLEN AVE CRANSTON, RI 02905 USA

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
MFZLBJJ6F1L5
UEI Expiration Date:
2026-05-04

Business Information

Division Name:
JENKS PARK PEDIATRICS INC
Division Number:
1
Activation Date:
2025-05-08
Initial Registration Date:
2022-01-07

National Provider Identifier

NPI Number:
1679116214

Authorized Person:

Name:
DR. BEATA FELICIA NELKEN
Role:
PRESIDENT / C.E.O.
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
842662246
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:

Filings

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

Expenditures

Agency Date Program Subprogram Amount
Department of Health 2025-04-15 Community and Family Health and Equity Chronic Care and Disease Management 864.98
Department of Health 2025-03-28 Community and Family Health and Equity Chronic Care and Disease Management 4697.0
Department of Health 2025-03-21 Community and Family Health and Equity Chronic Care and Disease Management 3694.62
Department of Health 2025-02-28 Community and Family Health and Equity Chronic Care and Disease Management 4697.0
Department of Health 2025-01-30 Community and Family Health and Equity Chronic Care and Disease Management 4697.0

USAspending Awards / Financial Assistance

Date:
2020-05-18
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:
10700.00
Total Face Value Of Loan:
10700.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
10700
Current Approval Amount:
10700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
10751.69

Date of last update: 03 Jun 2025

Sources: Rhode Island Department of State