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CHS PHYSICIAN PARTNERS, P.C.

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Company Details

Name: CHS PHYSICIAN PARTNERS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 May 2001 (24 years ago)
Entity Number: 2635800
ZIP code: 11570
County: Nassau
Place of Formation: New York
Principal Address: Catholic Health, 992 North Village Avenue, Rockville Centre, NY, United States, 11570
Address: ATTENTION: GENERAL COUNSEL, 992 NORTH VILLAGE AVENUE, ROCKVILLE CENTRE, NY, United States, 11570

Contact Details

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Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
AVNI THAKORE Chief Executive Officer C/O: CATHOLIC HEALTH, 992 NORTH VILLAGE AVENUE, ROCKVILLE CENTRE, NY, United States, 11570

DOS Process Agent

Name Role Address
CATHOLIC HEALTH DOS Process Agent ATTENTION: GENERAL COUNSEL, 992 NORTH VILLAGE AVENUE, ROCKVILLE CENTRE, NY, United States, 11570

National Provider Identifier

NPI Number:
1124497771

Authorized Person:

Name:
LORRAINE HUMMEL
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2025-06-06 2025-06-06 Address VIZZA PAVILIO 100, PORT WASHINGTON BLVD, ROSLYN, NY, 11576, 1348, USA (Type of address: Chief Executive Officer)
2025-06-06 2025-06-06 Address C/O: CATHOLIC HEALTH, 992 NORTH VILLAGE AVENUE, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Chief Executive Officer)
2025-05-12 2025-06-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-04-28 2025-05-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-04-24 2025-04-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250606000410 2025-06-06 BIENNIAL STATEMENT 2025-06-06
240315002325 2024-03-15 BIENNIAL STATEMENT 2024-03-15
170113000457 2017-01-13 CERTIFICATE OF AMENDMENT 2017-01-13
090720000467 2009-07-20 CERTIFICATE OF CHANGE 2009-07-20
090720002999 2009-07-20 AMENDMENT TO BIENNIAL STATEMENT 2009-05-01

Tax Exempt

Employer Identification Number (EIN) :
11-3613997
In Care Of Name:
% CHS SERVICES
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:
2011-12
National Taxonomy Of Exempt Entities:
Health Care: Group Health Practice (Health Maintenance Organizations)
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State