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NATIONAL PEDIATRIC M.D., P.C.

NATIONAL PEDIATRIC M.D., P.C.

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Company Details

Name:	NATIONAL PEDIATRIC M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	21 Dec 1992 (33 years ago)
Entity Number:	1688614
ZIP code:	11368
County:	Queens
Place of Formation:	New York
Address:	102-11 ROOSEVELT AVENUE, CORONA, NY, United States, 11368
Principal Address:	102-11 ROOSEVELT AVE, CORONA, NY, United States, 11368

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	102-11 ROOSEVELT AVENUE, CORONA, NY, United States, 11368

Chief Executive Officer

Name	Role	Address
HECTOR B FLORIMON, MD	Chief Executive Officer	102-11 ROOSEVELT AVENUE, CORONA, NY, United States, 11368

National Provider Identifier

NPI Number:

1740492347

Certification Date:

2021-04-07

Link:

View on NPI website

Authorized Person:

Name:

HECTOR BIENVENIDO FLORIMON DE LA ROSA

Role:

MEDICAL DIRECTOR

Phone:

7188985200

Taxonomy:

Selected Taxonomy:

261QP2300X - Primary Care Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 718-898-5200

Fax:

7188981251

Form 5500 Series

Employer Identification Number (EIN):

113113759

Plan Year:

2019

Number Of Participants:

114

Sponsors Telephone Number:

5162974521

Plan Year:

2019

Number Of Participants:

114

Sponsors Telephone Number:

5162974521

File:

Plan Year:

2018

Number Of Participants:

111

Sponsors Telephone Number:

5162974521

File:

Plan Year:

2017

Number Of Participants:

73

Sponsors Telephone Number:

5162974521

File:

Plan Year:

2016

Number Of Participants:

74

Sponsors Telephone Number:

5162974521

File:

History

Start date	End date	Type	Value
1996-12-17	2008-12-05	Address	40-10 NATIONAL ST, CORONA, NY, 11368, USA (Type of address: Chief Executive Officer)
1996-12-17	2008-12-05	Address	40-10 NATIONAL ST, CORONA, NY, 11368, USA (Type of address: Principal Executive Office)
1996-12-17	2008-12-05	Address	40-10 NATIONAL ST, CORONA, NY, 11368, USA (Type of address: Service of Process)
1992-12-21	1996-12-17	Address	40-10 NATIONAL STREET, CORONA, NY, 00000, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
121218002348	2012-12-18	BIENNIAL STATEMENT	2012-12-01
110104002520	2011-01-04	BIENNIAL STATEMENT	2010-12-01
081205002298	2008-12-05	BIENNIAL STATEMENT	2008-12-01
061208002013	2006-12-08	BIENNIAL STATEMENT	2006-12-01
050119002719	2005-01-19	BIENNIAL STATEMENT	2004-12-01

Paycheck Protection Program

Jobs Reported:

36

Initial Approval Amount:

$416,535

Date Approved:

2020-05-06

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$416,535

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$422,487.98

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $416,535

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State