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MARK I. EVANS M.D., PLLC

MARK I. EVANS M.D., PLLC

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Company Details

Name:	MARK I. EVANS M.D., PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	23 Nov 2004 (21 years ago)
Entity Number:	3129831
ZIP code:	10022
County:	New York
Place of Formation:	New York
Address:	635 MADISON AVENUE, 10TH FLOOR, NEW YORK, NY, United States, 10022

Agent

Name	Role	Address
MARK I. EVANS, M.D.	Agent	131 EAST 65TH STREET, NEW YORK, NY, 10021

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	635 MADISON AVENUE, 10TH FLOOR, NEW YORK, NY, United States, 10022

National Provider Identifier

NPI Number:

1801540992

Certification Date:

2022-04-27

Link:

View on NPI website

Authorized Person:

Name:

DR. MARK IRA EVANS

Role:

OWNER/AUTHORIZED OFFICIAL

Phone:

2015850686

Taxonomy:

Selected Taxonomy:

207V00000X - Obstetrics & Gynecology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 201-585-0686

Phone:

+1 212-288-1422

Fax:

2128792606

Form 5500 Series

Employer Identification Number (EIN):

201930403

Plan Year:

2023

Number Of Participants:

4

Sponsors Telephone Number:

2122881422

File:

Plan Year:

2022

Number Of Participants:

5

Sponsors Telephone Number:

2122881422

File:

Plan Year:

2021

Number Of Participants:

5

Sponsors Telephone Number:

2122881422

File:

Plan Year:

2020

Number Of Participants:

5

Sponsors Telephone Number:

2122881422

File:

Plan Year:

2019

Number Of Participants:

5

Sponsors Telephone Number:

2127442590

File:

Filings

Filing Number	Date Filed	Type	Effective Date
060228000075	2006-02-28	CERTIFICATE OF CHANGE	2006-02-28
041123000639	2004-11-23	ARTICLES OF ORGANIZATION	2004-11-23

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$79,800

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$79,800

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$80,374.12

Servicing Lender:

PNC Bank, National Association

Use of Proceeds:

Payroll: $79,800

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State