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KEVIN R. MATHISSON, M.D., P.C.

KEVIN R. MATHISSON, M.D., P.C.

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Company Details

Name:	KEVIN R. MATHISSON, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	26 Oct 1999 (26 years ago)
Entity Number:	2432986
ZIP code:	10546
County:	Westchester
Place of Formation:	New York
Address:	455 CENTRAL PARK AVE, SUITE 317, Millwood, NY, United States, 10546
Principal Address:	455 CENTRAL PARK AVE, STE 317, SCARSDALE, NY, United States, 10583

Contact Details

Phone +1 914-723-2020

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
KEVIN R MATHISSON MD	Chief Executive Officer	455 CENTRAL PARK AVE, STE 317, SCARSDALE, NY, United States, 10583

DOS Process Agent

Name	Role	Address
KEVIN R. MATHISSON, M.D., P.C.	DOS Process Agent	455 CENTRAL PARK AVE, SUITE 317, Millwood, NY, United States, 10546

National Provider Identifier

NPI Number:

1023288610

Certification Date:

2021-02-24

Link:

View on NPI website

Authorized Person:

Name:

DR. KEVIN R MATHISSON

Role:

PRESIDENT

Phone:

9147232020

Taxonomy:

Selected Taxonomy:

207W00000X - Ophthalmology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 914-337-2222

Fax:

9147232011

Phone:

+1 914-723-2020

Form 5500 Series

Employer Identification Number (EIN):

134086556

Plan Year:

2024

Number Of Participants:

14

Sponsors Telephone Number:

9147232020

File:

Plan Year:

2023

Number Of Participants:

12

Sponsors Telephone Number:

9147232020

File:

Plan Year:

2022

Number Of Participants:

12

Sponsors Telephone Number:

9147232020

File:

Plan Year:

2021

Number Of Participants:

8

Sponsors Telephone Number:

9147232020

File:

Plan Year:

2020

Number Of Participants:

7

Sponsors Telephone Number:

9147232020

File:

History

Start date	End date	Type	Value
2024-02-09	2024-02-09	Address	455 CENTRAL PARK AVE, STE 317, SCARSDALE, NY, 10583, USA (Type of address: Chief Executive Officer)
2024-02-09	2024-02-09	Address	1075 CENTRAL PARK AVE, STE 409, SCARSDALE, NY, 10583, 3232, USA (Type of address: Chief Executive Officer)
2019-04-18	2024-02-09	Address	1075 CENTRAL PARK AVE, SUITE 409, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)
2011-10-28	2019-04-18	Address	1075 CENTRAL PARK AVE, STE 409, SCARSDALE, NY, 10583, 3232, USA (Type of address: Service of Process)
2011-10-28	2024-02-09	Address	1075 CENTRAL PARK AVE, STE 409, SCARSDALE, NY, 10583, 3232, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
240209003725	2024-02-09	BIENNIAL STATEMENT	2024-02-09
190418060422	2019-04-18	BIENNIAL STATEMENT	2017-10-01
131101002365	2013-11-01	BIENNIAL STATEMENT	2013-10-01
111028002243	2011-10-28	BIENNIAL STATEMENT	2011-10-01
110401000516	2011-04-01	CERTIFICATE OF CHANGE	2011-04-01

Paycheck Protection Program

Jobs Reported:

8

Initial Approval Amount:

$77,667

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$77,667

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$78,150.02

Servicing Lender:

Webster Bank National Association

Use of Proceeds:

Payroll: $77,667
Refinance EIDL: $0

Jobs Reported:

9

Initial Approval Amount:

$90,747

Date Approved:

2021-02-03

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$90,747

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$91,092.58

Servicing Lender:

Webster Bank National Association

Use of Proceeds:

Payroll: $90,744
Utilities: $1

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State