| Name: | UNIVERSITY PHYSICIANS OF BROOKLYN, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION) |
| Status: | Active |
| Date of registration: | 06 Dec 1993 (31 years ago) |
| Entity Number: | 1777244 |
| ZIP code: | 11203 |
| County: | Kings |
| Place of Formation: | New York |
| Address: | CENTER AT BROOKLYN ATTN PRES., 450 CLARKSON AVE BOX 80, BROOKLYN, NY, United States, 11203 |
Contact Details
Phone +1 718-492-5566
Phone +1 718-270-4717
Phone +1 718-332-4409
Phone +1 718-270-4453
Phone +1 718-638-2020
Phone +1 646-930-2700
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Phone +1 212-746-5454
Phone +1 212-606-1000
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Phone +1 212-844-8300
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Phone +1 718-270-2744
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WKAHMRKMK5N7 | 2025-03-10 | 450 CLARKSON AVE # 80, BROOKLYN, NY, 11203, 2012, USA | 450 CLARKSON AVENUE, MSC 80, BROOKLYN, NY, 11203, 2098, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Congressional District | 09 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2024-03-22 |
| Initial Registration Date | 2004-06-16 |
| Entity Start Date | 1993-11-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111 |
| Product and Service Codes | Q201, U005, U006, U008, U009 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MATTHEW MIELCZAREK |
| Role | CFO |
| Address | 450 CLARKSON AVENUE, BOX 80, BROOKLYN, NY, 11203, 2098, USA |
| Title | ALTERNATE POC |
| Name | LORI DONNELL |
| Role | EXECUTIVE DIRECTOR |
| Address | 450 CLARKSON AVENUE, BOX 80, BROOKLYN, NY, 11203, 2098, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MATTHEW MIELCZAREK |
| Role | CFO |
| Address | 450 CLARKSON AVENUE, BOX 80, BROOKLYN, NY, 11203, 2098, USA |
| Title | ALTERNATE POC |
| Name | LORI DONNELL |
| Role | EXECUTIVE DIRECTOR |
| Address | 450 CLARKSON AVENUE, BOX 80, BROOKLYN, NY, 11203, 2098, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3XAZ0 | Active With Restraint | Non-Manufacturer | 2004-06-23 | 2024-03-22 | 2029-03-22 | 2025-03-10 | |||||||||||||||
|
|||||||||||||||||||||
| POC | MATTHEW MIELCZAREK |
| Phone | +1 718-613-8357 |
| Fax | +1 718-270-3238 |
| Address | 450 CLARKSON AVE 80, BROOKLYN, KINGS, NY, 11203 2012, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| THE CORPORATION, STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE | DOS Process Agent | CENTER AT BROOKLYN ATTN PRES., 450 CLARKSON AVE BOX 80, BROOKLYN, NY, United States, 11203 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1993-12-06 | 1995-01-06 | Address | HEALTH SERVICE CENTER AT BKLYN, 450 CLARKSON AVE.BOX 80, BROOKLYN, NY, 11203, 2068, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 950106000466 | 1995-01-06 | CERTIFICATE OF AMENDMENT | 1995-01-06 |
| 931206000134 | 1993-12-06 | CERTIFICATE OF INCORPORATION | 1993-12-06 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | DJBBROHUB30547 | 2008-07-17 | 2008-07-30 | 2008-07-30 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Title | MEDICAL TRIP FOR INMATE DZIEDIC JOHN TO SEE DR. GAO ON 7/17/2008 |
| NAICS Code | 525120: HEALTH AND WELFARE FUNDS |
| Product and Service Codes | AN41: HEALTH SERVICES (BASIC) |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_DJBBROHHB230324_1540_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | MEDICAL TRIP FOR INMATE MCCOLLISTER, RANDALL TO SEE DR. GAO ON APRIL 10, 2008 |
| NAICS Code | 525120: HEALTH AND WELFARE FUNDS |
| Product and Service Codes | AN41: HEALTH SERVICES (BASIC) |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_DJBBROHUB30336_1540_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | MEDICAL TRIP FOR INMATES AT MDC BROOKLYN, NY |
| NAICS Code | 525120: HEALTH AND WELFARE FUNDS |
| Product and Service Codes | AN41: HEALTH SERVICES (BASIC) |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_DJBBROHB230305_1540_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | MEDICAL SERVICES FOR INMATES AT MDC BROOKLYN |
| NAICS Code | 525120: HEALTH AND WELFARE FUNDS |
| Product and Service Codes | AN41: HEALTH SERVICES (BASIC) |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_DJBBROHB230255_1540_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | MEDICAL TRIP FOR INMATE MCCOLLISTER, RANDALL TO SEE DR. GAO ON APRIL 10, 2008 |
| NAICS Code | 525120: HEALTH AND WELFARE FUNDS |
| Product and Service Codes | AN41: HEALTH SERVICES (BASIC) |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_DJBBROHB230229_1540_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | MEDICAL TRIP FOR INMATE MCCOLLISTER, RANDALL TO SEE DR. GAO ON APRIL 10, 2008 |
| NAICS Code | 525120: HEALTH AND WELFARE FUNDS |
| Product and Service Codes | AN41: HEALTH SERVICES (BASIC) |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_VA243P0280_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | INTERVENTIONAL RADIOLOGY SERVICES WITH AFFLIATE - UNIVERSITY PHYSICIANS OF BROOKLYN (SUNY) |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q522: RADIOLOGY SERVICES |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_VA243P0216_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PHYSICIAN/VASCULAR SURGEON SERVICES PROVIDED BY AFFILIATE UNIVERSITY PHYSICIANS OF BROOKLYN TO THE BROOKLYN VA. |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q523: SURGERY SERVICES |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_V526R81870_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PAYMENT FOR ANN FEDER, 100 COLUMBIA AVENUE, HARTSD |
| Product and Service Codes | U005: TUITION/REG/MEMB FEES |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
| Unique Award Key | CONT_AWD_VA243P0141_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PROVIDE INTERVENTIONAL RADIOLOGY PHYSICIAN SERVICES FOR THE BROOKLYN CAMPUS OF THE NEW YORK HARBOR HEALTH CARE SYSTEM. |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q522: RADIOLOGY SERVICES |
Recipient Details
| Recipient | UNIVERSITY PHYSICIANS OF BROOKLYN, INC |
| UEI | WKAHMRKMK5N7 |
| Legacy DUNS | 014556026 |
| Recipient Address | UNITED STATES, 450 CLARKSON AVE 80, BROOKLYN, 112032056 |
Date of last update: 22 Jan 2025
Sources: New York Secretary of State
