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BELLMORE-MERRICK MEDICAL, P.C.

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Company Details

Name: BELLMORE-MERRICK MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 May 2001 (24 years ago)
Entity Number: 2638283
ZIP code: 11710
County: Nassau
Place of Formation: New York
Address: 2016 NEWBRIDGE RD, BELLMORE, NY, United States, 11710
Principal Address: 6 HUNTING HOLLOW CT, DIX HILLS, NY, United States, 11746

Contact Details

Phone +1 516-409-8800

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DR. LEWIS JASSEY Chief Executive Officer 2106 NEWBRIDGE RD, BELLMORE, NY, United States, 11710

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2016 NEWBRIDGE RD, BELLMORE, NY, United States, 11710

National Provider Identifier

NPI Number:
1255709879

Authorized Person:

Name:
DR. LEWIS JASSEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
113612508
Plan Year:
2016
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
25
Sponsors Telephone Number:

History

Start date End date Type Value
2001-05-14 2021-11-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2001-05-14 2007-08-23 Address 2527 RIVIERA LANE, BELLMORE, NY, 11710, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
070823002394 2007-08-23 BIENNIAL STATEMENT 2007-05-01
050815002231 2005-08-15 BIENNIAL STATEMENT 2005-05-01
010514000008 2001-05-14 CERTIFICATE OF INCORPORATION 2001-05-14

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State