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EMERGENCY PHYSICIAN SERVICES OF NEW YORK, P.C.

EMERGENCY PHYSICIAN SERVICES OF NEW YORK, P.C.

Company Details

Name:	EMERGENCY PHYSICIAN SERVICES OF NEW YORK, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	30 Jun 1998 (27 years ago)
Entity Number:	2274625
ZIP code:	12207
County:	New York
Place of Formation:	New York
Principal Address:	307 SOUTH EVERGREEN AVE, SUITE 101, WOODBURY, NJ, United States, 08096
Address:	80 STATE STREET, ALBANY, NY, United States, 12207

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name	Role	Address
CORPORATION SERVICE COMPANY	Agent	80 STATE STREET, ALBANY, NY, 12207

DOS Process Agent

Name	Role	Address
C/O CORPORATION SERVICE COMPANY	DOS Process Agent	80 STATE STREET, ALBANY, NY, United States, 12207

Chief Executive Officer

Name	Role	Address
DAVID ISTVAN, MD	Chief Executive Officer	307 SOUTH EVERGREEN AVE, SUITE 101, WOODBURY, NJ, United States, 08096

National Provider Identifier

NPI Number:

1093759847

Certification Date:

2020-09-22

Link:

View on NPI website

Authorized Person:

Name:

ROBIN MOUGANIS

Role:

DIRECTOR OF PE

Phone:

8566864394

Taxonomy:

Selected Taxonomy:

363A00000X - Physician Assistant

Is Primary:

Selected Taxonomy:

207P00000X - Emergency Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 845-483-5000

History

Start date	End date	Type	Value
2024-11-29	2025-02-18	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-05	2024-11-29	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-05	2024-06-05	Address	307 SOUTH EVERGREEN AVE, WOODBURY, NJ, 08096, USA (Type of address: Chief Executive Officer)
2024-06-05	2024-06-05	Address	307 SOUTH EVERGREEN AVE, SUITE 101, WOODBURY, NJ, 08096, USA (Type of address: Chief Executive Officer)
2022-12-22	2024-06-05	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number	Date Filed	Type	Effective Date
240605001025	2024-06-05	BIENNIAL STATEMENT	2024-06-05
220609000403	2022-06-09	BIENNIAL STATEMENT	2022-06-01
200616060383	2020-06-16	BIENNIAL STATEMENT	2020-06-01
180605006968	2018-06-05	BIENNIAL STATEMENT	2018-06-01
160614006489	2016-06-14	BIENNIAL STATEMENT	2016-06-01

Date of last update: 31 Mar 2025

Sources: New York Secretary of State