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NORTH OCEAN FAMILY MEDICINE P.C.

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Company Details

Name: NORTH OCEAN FAMILY MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jan 2004 (22 years ago)
Entity Number: 3000630
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 5 Roosevelt Avenue, Port Jefferson Station, NY, United States, 11776

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
CYNTHIA SANTIAGO Chief Executive Officer 5 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, United States, 11776

DOS Process Agent

Name Role Address
CYNTHIA SANTIAGO DOS Process Agent 5 Roosevelt Avenue, Port Jefferson Station, NY, United States, 11776

National Provider Identifier

NPI Number:
1801982822

Authorized Person:

Name:
DR. CYNTHIA SANTIAGO
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6317327019

Form 5500 Series

Employer Identification Number (EIN):
200669826
Plan Year:
2024
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2024-01-01 2024-01-01 Address 260 MIDDLE COUNTRY RD, SELDEN, NY, 11784, USA (Type of address: Chief Executive Officer)
2024-01-01 2024-01-01 Address 5 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776, USA (Type of address: Chief Executive Officer)
2023-03-16 2023-03-16 Address 260 MIDDLE COUNTRY RD, SELDEN, NY, 11784, USA (Type of address: Chief Executive Officer)
2023-03-16 2024-01-01 Address 5 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776, USA (Type of address: Chief Executive Officer)
2023-03-16 2024-01-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240101042366 2024-01-01 BIENNIAL STATEMENT 2024-01-01
230316000674 2023-03-16 BIENNIAL STATEMENT 2022-01-01
080123002377 2008-01-23 BIENNIAL STATEMENT 2008-01-01
060206002398 2006-02-06 BIENNIAL STATEMENT 2006-01-01
040115000468 2004-01-15 CERTIFICATE OF INCORPORATION 2004-01-15

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$52,000
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,000
Race:
Native Hawaiian or Other Pacific Islander
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$52,404.44
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $51,997
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$50,900
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$50,900
Race:
Native Hawaiian or Other Pacific Islander
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$51,471.21
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $50,900

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State