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ISLAND MUSCULOSKELETAL CARE M.D., P.C.

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Company Details

Name: ISLAND MUSCULOSKELETAL CARE M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Oct 1995 (30 years ago)
Entity Number: 1967548
ZIP code: 11557
County: Nassau
Place of Formation: New York
Principal Address: 310 MEADOWVIEW AVENUE, HEWLETT, NY, United States, 11557
Address: 310 MEADOWVIEW AVENUE, HEWLETT BAY PARK, NY, United States, 11557

Contact Details

Phone +1 718-849-2321

Phone +1 631-475-0353

Phone +1 718-882-5314

Phone +1 718-850-6577

Phone +1 516-887-1787

Phone +1 631-242-8172

Phone +1 631-281-1890

Phone +1 718-332-3600

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
BARRY JUPITER, MD Chief Executive Officer 1512 BROADWAY, HEWLETT, NY, United States, 11557

DOS Process Agent

Name Role Address
BARRY D JUPITER, MD DOS Process Agent 310 MEADOWVIEW AVENUE, HEWLETT BAY PARK, NY, United States, 11557

National Provider Identifier

NPI Number:
1124638747
Certification Date:
2020-08-07

Authorized Person:

Name:
BARRY DOUGLAS JUPITER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No

Contacts:

Fax:
5163742362
Fax:
7183323856

History

Start date End date Type Value
2023-03-30 2025-04-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-03-01 2023-03-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-09-25 2022-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1997-10-20 2005-11-23 Address 1512 BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
1995-10-24 2021-09-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
170119006037 2017-01-19 BIENNIAL STATEMENT 2015-10-01
131101002042 2013-11-01 BIENNIAL STATEMENT 2013-10-01
091009002483 2009-10-09 BIENNIAL STATEMENT 2009-10-01
071016002153 2007-10-16 BIENNIAL STATEMENT 2007-10-01
051123002121 2005-11-23 BIENNIAL STATEMENT 2005-10-01

Paycheck Protection Program

Jobs Reported:
149
Initial Approval Amount:
$1,700,000
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,700,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$1,720,258.33
Servicing Lender:
American Community Bank
Use of Proceeds:
Payroll: $1,700,000
Jobs Reported:
146
Initial Approval Amount:
$1,700,000
Date Approved:
2021-03-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,700,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$1,712,136.11
Servicing Lender:
American Community Bank
Use of Proceeds:
Payroll: $1,699,999

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State