Search icon

SUFFOLK PEDIATRIC ASSOCIATES, P.C.

Company Details

Name: SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jun 1985 (40 years ago)
Entity Number: 1008341
ZIP code: 10018
County: Suffolk
Place of Formation: New York
Address: 1430 BROADWAY SUITE 1208, 1208, NEW YORK, NY, United States, 10018
Principal Address: 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, United States, 11795

Contact Details

Phone +1 631-376-3000

Phone +1 631-661-2510

Phone +1 631-968-3000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SUFFOLK PEDIATRIC ASSOCIATES, P.C. DOS Process Agent 1430 BROADWAY SUITE 1208, 1208, NEW YORK, NY, United States, 10018

Chief Executive Officer

Name Role Address
IRA P WOLETSKY, MD Chief Executive Officer 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1194719484

Authorized Person:

Name:
IRA P WOLETSKY
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
6316696502

Form 5500 Series

Employer Identification Number (EIN):
112743079
Plan Year:
2023
Number Of Participants:
40
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
40
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
41
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
43
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
38
Sponsors Telephone Number:

History

Start date End date Type Value
2023-07-18 2023-07-18 Address 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2021-06-01 2023-07-18 Address 1430 BROADWAY, 1208, NEW YORK, NY, 10018, USA (Type of address: Service of Process)
2011-07-15 2021-06-01 Address 1111 MONTUAK HIGHWAY, SUITE 104, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)
2011-07-15 2023-07-18 Address 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2009-06-17 2011-07-15 Address 1111 MONTAUK HWY, STE 104, WEST ISLIP, NY, 11795, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
230718000590 2023-07-18 BIENNIAL STATEMENT 2023-06-01
210601060235 2021-06-01 BIENNIAL STATEMENT 2021-06-01
210225060388 2021-02-25 BIENNIAL STATEMENT 2019-06-01
130611002333 2013-06-11 BIENNIAL STATEMENT 2013-06-01
110715002537 2011-07-15 BIENNIAL STATEMENT 2011-06-01

USAspending Awards / Financial Assistance

Date:
2021-04-07
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:
246035.00
Total Face Value Of Loan:
246035.00
Date:
2020-04-29
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:
287700.00
Total Face Value Of Loan:
287700.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
287700
Current Approval Amount:
287700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
290923.82
Date Approved:
2021-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
246035
Current Approval Amount:
246035
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
248913.27

Date of last update: 17 Mar 2025

Sources: New York Secretary of State