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FOREST HILLS GASTROENTEROLOGY, P.C.

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Company Details

Name: FOREST HILLS GASTROENTEROLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 May 2002 (23 years ago)
Entity Number: 2772523
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 109-19 72nd road, Com 1, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
FOREST HILLS GASTROENTEROLOGY, P.C. DOS Process Agent 109-19 72nd road, Com 1, FOREST HILLS, NY, United States, 11375

Chief Executive Officer

Name Role Address
AZEEM KHAN Chief Executive Officer 109-19 72ND ROAD, COM 1, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1518078047

Authorized Person:

Name:
DR. AZEEM KHAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
010708903
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
27
Sponsors Telephone Number:

History

Start date End date Type Value
2025-02-06 2025-02-06 Address 108-40 QUEENS BLVD, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2025-02-06 2025-02-06 Address 109-19 72ND ROAD, COM 1, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2015-01-15 2025-02-06 Address 108-40 QUEENS BLVD., FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2014-05-02 2015-01-15 Address 108-40 QUEENS BLVD, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2014-05-02 2025-02-06 Address 108-40 QUEENS BLVD, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250206001241 2025-02-06 BIENNIAL STATEMENT 2025-02-06
150115000692 2015-01-15 CERTIFICATE OF AMENDMENT 2015-01-15
140502006765 2014-05-02 BIENNIAL STATEMENT 2014-05-01
120606006315 2012-06-06 BIENNIAL STATEMENT 2012-05-01
100525003143 2010-05-25 BIENNIAL STATEMENT 2010-05-01

USAspending Awards / Financial Assistance

Date:
2021-01-30
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:
127500.00
Total Face Value Of Loan:
127500.00
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:
147457.00
Total Face Value Of Loan:
147457.00
Date:
2018-08-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
-36000.00
Total Face Value Of Loan:
0.00

Trademarks Section

Serial Number:
97507743
Mark:
FOREST HILLS GASTROENTEROLOGY
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2022-07-18
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
FOREST HILLS GASTROENTEROLOGY

Goods And Services

For:
Clinical medical practice consultation services; Medical services; Medical services in the field of gastroenterology
First Use:
2015-01-15
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
98855987
Mark:
FOREST HILLS DIGESTIVE AND LIVER DISEASE
Status:
NON-FINAL ACTION - MAILED
Mark Type:
SERVICE MARK
Application Filing Date:
2024-11-15
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
FOREST HILLS DIGESTIVE AND LIVER DISEASE

Goods And Services

For:
Clinical medical practice consultation services; Medical services; Medical services in the field of gastroenterology
International Classes:
044 - Primary Class
Class Status:
Active

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$147,457
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$147,457
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$149,070.67
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $110,593
Rent: $27,426
Healthcare: $9438
Jobs Reported:
14
Initial Approval Amount:
$127,500
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$127,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$128,992.46
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $127,498
Utilities: $1

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State