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  5. STATEN ISLAND NEONATOLOGY, P.C.

STATEN ISLAND NEONATOLOGY, P.C.

Company Details

Name: STATEN ISLAND NEONATOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Nov 1986 (38 years ago)
Entity Number: 1064098
ZIP code: 11042
County: Richmond
Place of Formation: New York
Address: 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STATEN ISLAND NEONATOLOGY, P.C. PROFIT SHARING PLAN 2010 133375474 2011-09-19 STATEN ISLAND NEONATOLOGY, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 7182269450
Plan sponsor’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305

Plan administrator’s name and address
Administrator’s EIN 133375474
Plan administrator’s name STATEN ISLAND NEONATOLOGY, P.C.
Plan administrator’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305
Administrator’s telephone number 7182269450

Signature of
Role Plan administrator
Date 2011-09-19
Name of individual signing PHILIP ROTH
STATEN ISLAND NEONATOLOGY, P.C. PROFIT SHARING PLAN 2010 133375474 2011-09-19 STATEN ISLAND NEONATOLOGY, P.C. 1
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 7182269450
Plan sponsor’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305

Plan administrator’s name and address
Administrator’s EIN 133375474
Plan administrator’s name STATEN ISLAND NEONATOLOGY, P.C.
Plan administrator’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305
Administrator’s telephone number 7182269450

Signature of
Role Employer/plan sponsor
Date 2011-09-19
Name of individual signing PHILIP ROTH
STATEN ISLAND NEONATOLOGY, P.C. PENSION PLAN 2009 133375474 2010-07-09 STATEN ISLAND NEONATOLOGY , P.C. 1
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 7182269796
Plan sponsor’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305

Plan administrator’s name and address
Administrator’s EIN 133375474
Plan administrator’s name STATEN ISLAND NEONATOLOGY , P.C.
Plan administrator’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305
Administrator’s telephone number 7182269796

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing PHILIP ROTH
STATEN ISLAND NEONATOLOGY, P.C. PROFIT SHARING PLAN 2009 133375474 2010-07-09 STATEN ISLAND NEONATOLOGY, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 7182269450
Plan sponsor’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305

Plan administrator’s name and address
Administrator’s EIN 133375474
Plan administrator’s name STATEN ISLAND NEONATOLOGY, P.C.
Plan administrator’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305
Administrator’s telephone number 7182269450

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing PHILIP ROTH
STATEN ISLAND NEONATOLOGY, P.C. PENSION PLAN 2009 133375474 2010-07-12 STATEN ISLAND NEONATOLOGY , P.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 7182269796
Plan sponsor’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305

Plan administrator’s name and address
Administrator’s EIN 133375474
Plan administrator’s name STATEN ISLAND NEONATOLOGY , P.C.
Plan administrator’s address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305
Administrator’s telephone number 7182269796

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing PHILIP ROTH

DOS Process Agent

Name Role Address
OFFICE OF LEGAL AFFAIRS - GENERAL COUNSEL DOS Process Agent 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

Chief Executive Officer

Name Role Address
MICHAEL J. DOWLING Chief Executive Officer 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

History

Start date End date Type Value
2004-08-10 2010-11-19 Address 597 RUTLAND AVE, TEANEAK, NJ, 07666, USA (Type of address: Principal Executive Office)
2004-08-10 2004-12-23 Address 475 SEAVIEW AVE, STATEN ISLAND, NY, 10305, USA (Type of address: Chief Executive Officer)
2004-08-10 2010-11-19 Address 500 SEAVIEW AVE STE #200, STATEN ISLAND, NY, 10305, USA (Type of address: Service of Process)
1993-11-10 2004-08-10 Address 440 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305, USA (Type of address: Service of Process)
1993-02-05 2004-08-10 Address 475 SEAVIEW AVENUE, STATEN ISLAND, NY, 10305, USA (Type of address: Chief Executive Officer)
1993-02-05 2004-08-10 Address 150 ROYAL OAK, STATEN ISLAND, NY, 10314, USA (Type of address: Principal Executive Office)
1986-11-28 1993-11-10 Address 440 SEAVIEW AVE, STATEN ISALND, NY, 10305, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211018000459 2021-10-18 BIENNIAL STATEMENT 2021-10-18
130104002461 2013-01-04 BIENNIAL STATEMENT 2012-11-01
101119002744 2010-11-19 BIENNIAL STATEMENT 2010-11-01
061121002554 2006-11-21 BIENNIAL STATEMENT 2006-11-01
041223002275 2004-12-23 BIENNIAL STATEMENT 2004-11-01
040810002117 2004-08-10 BIENNIAL STATEMENT 2002-11-01
931110002739 1993-11-10 BIENNIAL STATEMENT 1993-11-01
930205002811 1993-02-05 BIENNIAL STATEMENT 1992-11-01
B429315-6 1986-11-28 CERTIFICATE OF INCORPORATION 1986-11-28

Related by officers

OFFICE OF LEGAL AFFAIRS - GENERAL COUNSEL

NORTH SHORE-LIJ RADIOLOGY SERVICES, P.C. SUITE 130 PLASTIC SURGERY, P.C. PECONIC BAY PRIMARY MEDICAL CARE, P.C. PHYSICIANS OF UNIVERSITY HOSPITAL, P.C. PRIME CARE MEDICAL OF LONG ISLAND, P.C. PECONIC BAY MEDICAL SERVICES, P.C. PHELPS MEDICAL SERVICES, P.C.

MICHAEL J. DOWLING

NORTH SHORE-LIJ MEDICAL, P.C. CARNEGIE CARDIOVASCULAR, P.C. COMMUNITY DRIVE SURGERY, P.C. LENOX HILL INTERVENTIONAL CARDIAC & VASCULAR SERVICES, P.C. BLACK HALL ORAL MAXILLOFACIAL SURGERY, P.C. MEDICAL SERVICES OF RIVERHEAD, P.C. LAKEVILLE SURGERY, P.C. TRUE NORTH WORKFORCE SAFETY CONSULTING, INC. TRUE NORTH MEDICAL OF SOUTH NASSAU, P.C. TRUE NORTH MEDICAL OF LENOX HILL, P.C.

Related by address

2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

ACTIVITY WORKS, LLC ADVANCED HEART PHYSICIANS & SURGEONS NETWORK, P.C. ALETTA CORPORATION ANESTHESIA MANAGEMENT SERVICES, LLC BLUE SKY DEVELOPMENT GROUP, LLC CARE MANAGEMENT GROUP OF GREATER NEW YORK, INC. CARE PHYSICIANS RISK PURCHASING GROUP, LLC CARNEGIE CARDIOVASCULAR, P.C. CBEM MANAGEMENT COMPANY, LLC COMMUNITY DRIVE SURGERY, P.C.

Date of last update: 06 Jan 2025

Sources: New York Secretary of State

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