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RAJIV BANSAL M.D., P.C.

RAJIV BANSAL M.D., P.C.

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Company Details

Name:	RAJIV BANSAL M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	10 Mar 2005 (20 years ago)
Entity Number:	3175388
ZIP code:	10568
County:	Nassau
Place of Formation:	New York
Address:	2 POLO DRIVE, OLD WESTBURY, NY, United States, 10568
Principal Address:	2001 MARCUS AVE, SUITE N 218, LAKE SUCCESS, NY, United States, 11042

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	2 POLO DRIVE, OLD WESTBURY, NY, United States, 10568

Chief Executive Officer

Name	Role	Address
RAJIV BANSAL	Chief Executive Officer	2 POLO DRIVE, OLD WESTBURY, NY, United States, 11568

National Provider Identifier

NPI Number:

1477605392

Link:

View on NPI website

Authorized Person:

Name:

RAJIV BANSAL

Role:

OWNER

Phone:

5164376900

Taxonomy:

Selected Taxonomy:

207RG0100X - Gastroenterology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 516-437-6900

Fax:

5164376904

Form 5500 Series

Employer Identification Number (EIN):

202480633

Plan Year:

2023

Number Of Participants:

21

Sponsors Telephone Number:

5164665166

File:

Plan Year:

2022

Number Of Participants:

21

Sponsors Telephone Number:

5164665166

File:

Plan Year:

2021

Number Of Participants:

22

Sponsors Telephone Number:

5164665166

File:

Plan Year:

2020

Number Of Participants:

17

Sponsors Telephone Number:

5164665166

File:

Plan Year:

2019

Number Of Participants:

20

Sponsors Telephone Number:

5164665166

Filings

Filing Number	Date Filed	Type	Effective Date
110406002386	2011-04-06	BIENNIAL STATEMENT	2011-03-01
090420002966	2009-04-20	BIENNIAL STATEMENT	2009-03-01
070629002259	2007-06-29	BIENNIAL STATEMENT	2007-03-01
050310000758	2005-03-10	CERTIFICATE OF INCORPORATION	2005-03-10

Paycheck Protection Program

Jobs Reported:

6

Initial Approval Amount:

$106,800

Date Approved:

2021-01-21

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$106,800

Race:

Asian

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$107,624.73

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $106,795
Utilities: $1

Jobs Reported:

6

Initial Approval Amount:

$106,800

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$106,800

Race:

Asian

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$108,022.27

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $106,800

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State