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MARK S. MCMAHON, M.D., P.C.

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Company Details

Name: MARK S. MCMAHON, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Nov 1995 (30 years ago)
Entity Number: 1970096
ZIP code: 10075
County: New York
Place of Formation: New York
Address: 876 PARK AVENUE, NEW YORK, NY, United States, 10075
Principal Address: 876 Park Avenue, New York, NY, United States, 10075

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MARK S. MCMAHON, M.D. DOS Process Agent 876 PARK AVENUE, NEW YORK, NY, United States, 10075

Chief Executive Officer

Name Role Address
MARK S. MCMAHON, M.D., P.C. Chief Executive Officer 876 PARK AVENUE, NEW YORK, NY, United States, 10075

National Provider Identifier

NPI Number:
1811260714

Authorized Person:

Name:
MICHELLE CARRERO
Role:
OFFICE MANAGER/MEDICAL BILLER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2123963277

Form 5500 Series

Employer Identification Number (EIN):
133859392
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2025-03-31 2025-06-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-11-23 2025-03-31 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-10-11 2024-11-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-09-19 2024-10-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-08-07 2024-09-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240216000826 2024-02-16 BIENNIAL STATEMENT 2024-02-16
200408000083 2020-04-08 CERTIFICATE OF CHANGE 2020-04-08
951102000152 1995-11-02 CERTIFICATE OF INCORPORATION 1995-11-02

USAspending Awards / Financial Assistance

Date:
2021-01-30
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:
95700.00
Total Face Value Of Loan:
95700.00
Date:
2020-04-13
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:
95700.00
Total Face Value Of Loan:
95700.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$95,700
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$95,700
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$96,348.63
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $95,700
Jobs Reported:
4
Initial Approval Amount:
$95,700
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$95,700
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$96,502.82
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $95,700

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State