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JACQUELINE DELMONT, MD, P.C.

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Company Details

Name: JACQUELINE DELMONT, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Nov 2001 (24 years ago)
Entity Number: 2700086
ZIP code: 11520
County: Nassau
Place of Formation: New York
Activity Description: Jacqueline Delmont MD, PC is a primary care practice that has state of the art facilities. electronic health records and patient portal to improve access to medical information.
Address: 55 North Main Street, Freeport, NY, United States, 11520
Principal Address: 55 NORTH MAIN STREET, FREEPORT, NY, United States, 11520

Contact Details

Phone +1 516-377-8014

Website http://www.delmonthealthcare.com

Phone +1 516-442-8488

Phone +1 718-868-4850

Phone +1 516-352-8300

Phone +1 718-868-1100

Phone +1 516-340-0001

Phone +1 516-377-8015

Phone +1 516-377-1023

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JACQUELINE DELMONT, MD, P.C. DOS Process Agent 55 North Main Street, Freeport, NY, United States, 11520

Chief Executive Officer

Name Role Address
JACQUELINE DELMONT, MD, P.C. Chief Executive Officer 55 NORTH MAIN STREET, FREEPORT, NY, United States, 11520

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
FM6QKHRVLFJ7
CAGE Code:
994P3
UEI Expiration Date:
2026-01-28

Business Information

Activation Date:
2025-01-30
Initial Registration Date:
2022-02-07

National Provider Identifier

NPI Number:
1922050749

Authorized Person:

Name:
DR. JACQUELINE DELMONT
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
No
Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
No
Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
No

Contacts:

Fax:
5163778107
Fax:
5163778017

Form 5500 Series

Employer Identification Number (EIN):
522248589
Plan Year:
2023
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
41
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
67
Sponsors Telephone Number:

History

Start date End date Type Value
2023-11-01 2023-11-01 Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2023-02-08 2023-02-08 Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2023-02-08 2023-11-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-02-08 2023-11-01 Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2023-02-08 2023-11-01 Address 55 North Main Street, Freeport, NY, 11520, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231101042390 2023-11-01 BIENNIAL STATEMENT 2023-11-01
230208002901 2023-02-08 BIENNIAL STATEMENT 2021-11-01
160908002016 2016-09-08 BIENNIAL STATEMENT 2015-11-01
071217002418 2007-12-17 BIENNIAL STATEMENT 2007-11-01
031031002821 2003-10-31 BIENNIAL STATEMENT 2003-11-01

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
925667.00
Total Face Value Of Loan:
925667.00
Date:
2012-05-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
1200000.00
Total Face Value Of Loan:
1200000.00

Paycheck Protection Program

Jobs Reported:
500
Initial Approval Amount:
$925,667
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$925,667
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$939,526.29
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $925,667

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State