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ISLAND PRIMARY MEDICAL CARE ASSOCIATES, P.C.

ISLAND PRIMARY MEDICAL CARE ASSOCIATES, P.C.

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Company Details

Name:	ISLAND PRIMARY MEDICAL CARE ASSOCIATES, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	18 Dec 1987 (38 years ago)
Entity Number:	1194653
ZIP code:	11758
County:	Nassau
Place of Formation:	New York
Address:	4625 MERRICK ROAD, MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
D'SOUZA M. KAMATH	Chief Executive Officer	4625 MERRICK ROAD, MASSAPEQUA, NY, United States, 11758

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	4625 MERRICK ROAD, MASSAPEQUA, NY, United States, 11758

Unique Entity ID

CAGE Code:

8JSK3

UEI Expiration Date:

2021-04-15

Business Information

Doing Business As:

KAMATH D MARIAN

Division Name:

ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC

Division Number:

ISLAND PRI

Activation Date:

2020-04-30

Initial Registration Date:

2020-04-15

National Provider Identifier

NPI Number:

1487692083

Link:

View on NPI website

Authorized Person:

Name:

JOSEPH ADIYODY

Role:

PARTNER

Phone:

5167981116

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 516-798-1116

Fax:

5167988530

Form 5500 Series

Employer Identification Number (EIN):

112887080

Plan Year:

2023

Number Of Participants:

28

Sponsors Telephone Number:

5167981116

File:

Plan Year:

2022

Number Of Participants:

29

Sponsors Telephone Number:

5167981116

File:

Plan Year:

2021

Number Of Participants:

23

Sponsors Telephone Number:

5167981116

File:

Plan Year:

2020

Number Of Participants:

24

Sponsors Telephone Number:

5167981116

File:

Plan Year:

2019

Number Of Participants:

23

Sponsors Telephone Number:

5167981116

File:

History

Start date	End date	Type	Value
1987-12-18	2004-04-19	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1987-12-18	1993-04-07	Address	4625 MERRICK ROAD, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
060216002814	2006-02-16	BIENNIAL STATEMENT	2005-12-01
040419000677	2004-04-19	CERTIFICATE OF AMENDMENT	2004-04-19
031205002979	2003-12-05	BIENNIAL STATEMENT	2003-12-01
020114002470	2002-01-14	BIENNIAL STATEMENT	2001-12-01
000121002143	2000-01-21	BIENNIAL STATEMENT	1999-12-01

Paycheck Protection Program

Jobs Reported:

25

Initial Approval Amount:

$252,985

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$252,985

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$254,555.19

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $202,388
Utilities: $15,597
Rent: $30,000
Healthcare: $5000

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State