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QUEENS ARTHROSCOPY AND SPORTS MEDICINE, P.C.

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Company Details

Name: QUEENS ARTHROSCOPY AND SPORTS MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Jun 1991 (34 years ago)
Entity Number: 1556838
ZIP code: 11374
County: Kings
Place of Formation: New York
Principal Address: 62-54 97TH PLACE, REGO PARK, NY, United States, 11374
Address: 6254 97TH PLACE, SUITE 2H, REGO PARK, NY, United States, 11374

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
LAXMIDHAR DIWAN MD Chief Executive Officer 62-54 97TH PLACE, REGO PARK, NY, United States, 11374

DOS Process Agent

Name Role Address
QUEENS ARTHROSCOPY AND SPORTS MEDICINE, P.C. DOS Process Agent 6254 97TH PLACE, SUITE 2H, REGO PARK, NY, United States, 11374

Agent

Name Role Address
law offices of gabriel & moroff, p.c. Agent 2 lincoln ave, suite 400, ROCKVILLE CENTRE, NY, 11570

National Provider Identifier

NPI Number:
1457554768

Authorized Person:

Name:
DR. LAXMIDHAR DIWAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
7182714490

Form 5500 Series

Employer Identification Number (EIN):
113099979
Plan Year:
2024
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:

History

Start date End date Type Value
2025-06-20 2025-07-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-18 2025-06-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-05-27 2025-06-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-05-21 2025-05-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-05-21 2025-05-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
220328000112 2021-06-21 CERTIFICATE OF CHANGE BY ENTITY 2021-06-21
190617060177 2019-06-17 BIENNIAL STATEMENT 2019-06-01
170612006291 2017-06-12 BIENNIAL STATEMENT 2017-06-01
130610006818 2013-06-10 BIENNIAL STATEMENT 2013-06-01
110630002541 2011-06-30 BIENNIAL STATEMENT 2011-06-01

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State