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PORTLAND ORTHOPAEDIC ASSOCIATES, LLC

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Company Details

Name: PORTLAND ORTHOPAEDIC ASSOCIATES, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Sep 2001 (24 years ago)
Entity Number: 2679752
ZIP code: 14621
County: Monroe
Place of Formation: New York
Address: 1299 PORTLAND AVENUE, STE 16, ROCHESTER, NY, United States, 14621

DOS Process Agent

Name Role Address
PORTLAND ORTHOPAEDIC ASSOCIATES, LLC DOS Process Agent 1299 PORTLAND AVENUE, STE 16, ROCHESTER, NY, United States, 14621

National Provider Identifier

NPI Number:
1629185756

Authorized Person:

Name:
MICHAEL A NILES
Role:
SOLO PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5852662163

Form 5500 Series

Employer Identification Number (EIN):
161611311
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
2001-09-12 2013-09-17 Address 1299 PORTLAND AVENUE, ROCHESTER, NY, 14621, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130917006319 2013-09-17 BIENNIAL STATEMENT 2013-09-01
111012002585 2011-10-12 BIENNIAL STATEMENT 2011-09-01
091014002758 2009-10-14 BIENNIAL STATEMENT 2009-09-01
070914002286 2007-09-14 BIENNIAL STATEMENT 2007-09-01
050912002148 2005-09-12 BIENNIAL STATEMENT 2005-09-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State