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ECKARDT JOHANNING, M.D., P.C.

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Company Details

Name: ECKARDT JOHANNING, 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: 3175477
ZIP code: 12164
County: Albany
Place of Formation: New York
Principal Address: ATTN: ECKARDT JOHANNING, 128 Old Page Hill Road, Lake Pleasant, NY, United States, 12108
Address: ATTN: ECKARDT JOHANNING, M.D., POB 502, Speculator, NY, United States, 12164

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ECKARDT JOHANNING, M.D., P.C. DOS Process Agent ATTN: ECKARDT JOHANNING, M.D., POB 502, Speculator, NY, United States, 12164

Chief Executive Officer

Name Role Address
ECKARDT JOHANNING MD Chief Executive Officer C/O ECKARDT JOHANNING MD PC, POB 502, SPECULATOR, NY, United States, 12164

Unique Entity ID

Unique Entity ID:
H53TTNA696N1
CAGE Code:
33WJ9
UEI Expiration Date:
2026-05-27

Business Information

Division Name:
ECKARDT JOHANNING MD PC
Division Number:
3175477
Activation Date:
2025-05-28
Initial Registration Date:
2004-12-02

Commercial and government entity program

CAGE number:
33WJ9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-28
CAGE Expiration:
2030-05-28
SAM Expiration:
2026-05-27

Contact Information

POC:
ECKARDT JOHANNING
Corporate URL:
johanningmd.com

National Provider Identifier

NPI Number:
1598945974

Authorized Person:

Name:
DR. ECKARDT JOHANNING
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5184594646

Form 5500 Series

Employer Identification Number (EIN):
203936882
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2025-03-01 2025-03-01 Address C/O ECKARDT JOHANNING MD PC, POB 502, SPECULATOR, NY, 12164, USA (Type of address: Chief Executive Officer)
2025-03-01 2025-03-01 Address C/O ECKARDT JOHANNING MD PC, 4 EXECUTIVE DRIVE, ALBANY, NY, 12203, USA (Type of address: Chief Executive Officer)
2024-08-01 2025-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-01 2025-03-01 Address C/O ECKARDT JOHANNING MD PC, 4 EXECUTIVE DRIVE, ALBANY, NY, 12203, USA (Type of address: Chief Executive Officer)
2023-03-01 2024-08-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250301049879 2025-03-01 BIENNIAL STATEMENT 2025-03-01
230301004021 2023-03-01 BIENNIAL STATEMENT 2023-03-01
221003001200 2022-10-03 BIENNIAL STATEMENT 2021-03-01
130318006715 2013-03-18 BIENNIAL STATEMENT 2013-03-01
110322002866 2011-03-22 BIENNIAL STATEMENT 2011-03-01

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$31,475
Date Approved:
2020-05-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,475
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,742.32
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $31,475
Jobs Reported:
2
Initial Approval Amount:
$31,000
Date Approved:
2021-03-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,155.42
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $30,997

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State