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NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE, INC.

Company Details

Name: NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 29 Oct 1997 (28 years ago)
Entity Number: 2194449
ZIP code: 11030
County: Nassau
Place of Formation: New York
Address: 300 COMMUNITY DRIVE, MANHASSET, NY, United States, 11030

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 300 COMMUNITY DRIVE, MANHASSET, NY, United States, 11030

National Provider Identifier

NPI Number:
1003409061
Certification Date:
2021-02-19

Authorized Person:

Name:
MRS. MICHELE L CUSACK
Role:
SENIOR VICE PRESIDENT & CFO
Phone:

Taxonomy:

Selected Taxonomy:
207RH0003X - Hematology & Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
5167348934

Filings

Filing Number Date Filed Type Effective Date
971029000547 1997-10-29 CERTIFICATE OF INCORPORATION 1997-10-29

Tax Exempt

Employer Identification Number (EIN) :
85-3920020
In Care Of Name:
% NORTHWELL HEALTH INC
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2022-09
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A Type I, Type II, or functionally integrated Type III supporting organization. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Date of last update: 31 Mar 2025

Sources: New York Secretary of State