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MICHAEL NISSEN, M.D., P.C.

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Company Details

Name: MICHAEL NISSEN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Jun 2001 (24 years ago)
Entity Number: 2647614
ZIP code: 10547
County: New York
Place of Formation: New York
Address: GARY M REING ESQ, 1360 SUNNY RIDGE ROAD, MOHEGAN LAKE, NY, United States, 10547
Principal Address: 225 EAST 64TH ST, NEW YORK, NY, United States, 10021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent GARY M REING ESQ, 1360 SUNNY RIDGE ROAD, MOHEGAN LAKE, NY, United States, 10547

Chief Executive Officer

Name Role Address
MICHAEL NISSEN Chief Executive Officer 225 EAST 64TH ST, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1932344389

Authorized Person:

Name:
DR. MICHAEL NISSEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2127727001

Form 5500 Series

Employer Identification Number (EIN):
134174737
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
070709002069 2007-07-09 BIENNIAL STATEMENT 2007-06-01
050901002431 2005-09-01 BIENNIAL STATEMENT 2005-06-01
030619002087 2003-06-19 BIENNIAL STATEMENT 2003-06-01
010607000066 2001-06-07 CERTIFICATE OF INCORPORATION 2001-06-07

USAspending Awards / Financial Assistance

Date:
2021-01-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
101992.00
Total Face Value Of Loan:
101992.00
Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
97495.00
Total Face Value Of Loan:
97495.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$101,992
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$101,992
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$102,733.31
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $101,989
Utilities: $1
Jobs Reported:
6
Initial Approval Amount:
$97,495
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$97,495
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$98,402.68
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $77,995
Utilities: $0
Mortgage Interest: $0
Rent: $17,000
Refinance EIDL: $0
Healthcare: $2500
Debt Interest: $0

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State