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  5. MITCHELL J. MANDEL, M.D. P.C.

MITCHELL J. MANDEL, M.D. P.C.

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Company Details

Name: MITCHELL J. MANDEL, M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Oct 1995 (30 years ago)
Entity Number: 1963356
ZIP code: 11946
County: New York
Place of Formation: New York
Address: 19 Lighthouse Road, Hampton Bays, NY, United States, 11946
Principal Address: 1 POLO DRIVE, OLD WESTBURY, NY, United States, 11568

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MITCHELL J. MANDEL Chief Executive Officer 19 LIGHTHOUSE ROAD, HAMPTON BAYS, NY, United States, 11946

DOS Process Agent

Name Role Address
MITCHELL MANDEL DOS Process Agent 19 Lighthouse Road, Hampton Bays, NY, United States, 11946

National Provider Identifier

NPI Number:
1881955623
Certification Date:
2024-02-05
Link:
View on NPI website

Authorized Person:

Name:
DR. MITCHELL J MANDEL
Role:
PRESIDENT
Phone:
2125709595

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
No
Selected Taxonomy:
207NP0225X - Pediatric Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 212-570-9595

Form 5500 Series

Employer Identification Number (EIN):
133842292
Plan Year:
2024
Number Of Participants:
32
Sponsors Telephone Number:
2125709595
File:
View File
Plan Year:
2023
Number Of Participants:
29
Sponsors Telephone Number:
2125709595
File:
View File
Plan Year:
2022
Number Of Participants:
26
Sponsors Telephone Number:
2125709595
File:
View File
Plan Year:
2021
Number Of Participants:
20
Sponsors Telephone Number:
2125709595
File:
View File
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:
2125709595
File:
View File

History

Start date End date Type Value
1999-11-18 2011-11-03 Address #1 POLO DRIVE, OLD WESTBURY, NY, 11568, 1039, USA (Type of address: Chief Executive Officer)
1999-11-18 2011-11-03 Address #1 POLO DRIVE, OLD WESTBURY, NY, 11568, 1039, USA (Type of address: Principal Executive Office)
1997-10-20 1999-11-18 Address 36 WHITNEY LANE, BROOKVILLE, NY, 11545, USA (Type of address: Chief Executive Officer)
1997-10-20 1999-11-18 Address 36 WHITNEY LANE, BROOKVILLE, NY, 11545, USA (Type of address: Principal Executive Office)
1995-10-10 2021-07-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
210714003273 2021-07-14 BIENNIAL STATEMENT 2021-07-14
141219006574 2014-12-19 BIENNIAL STATEMENT 2013-10-01
111103002980 2011-11-03 BIENNIAL STATEMENT 2011-10-01
091007002958 2009-10-07 BIENNIAL STATEMENT 2009-10-01
071108002536 2007-11-08 BIENNIAL STATEMENT 2007-10-01

USAspending Awards / Financial Assistance

Date:
2021-02-03
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
102770.00
Total Face Value Of Loan:
102770.00
Date:
2020-06-20
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
118407.00
Total Face Value Of Loan:
118407.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$102,770
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$102,770
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$103,707.21
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $102,766
Utilities: $1
Jobs Reported:
13
Initial Approval Amount:
$118,407
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$118,407
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$119,941.29
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $100,000
Utilities: $3,187
Mortgage Interest: $0
Rent: $15,220
Refinance EIDL: $0
Healthcare: $0
Debt Interest: $0

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Related by address

19 Lighthouse Road, Hampton Bays, NY, United States, 11946

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1 POLO DRIVE, OLD WESTBURY, NY, United States, 11568

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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