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VILLAGE PARK MEDICAL, P.C.

VILLAGE PARK MEDICAL, P.C.

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Company Details

Name:	VILLAGE PARK MEDICAL, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	07 Jan 1972 (54 years ago)
Entity Number:	321141
ZIP code:	10011
County:	New York
Place of Formation:	New York
Address:	31 WASHINGTON SQUARE WEST, NEW YORK, NY, United States, 10011

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	31 WASHINGTON SQUARE WEST, NEW YORK, NY, United States, 10011

Chief Executive Officer

Name	Role	Address
WILLIAM MANDELL, MD	Chief Executive Officer	31 WASHINGTON SQUARE WEST, NEW YORK, NY, United States, 10011

National Provider Identifier

NPI Number:

1902961097

Link:

View on NPI website

Authorized Person:

Name:

DR. WILLIAM MANDELL

Role:

PRESIDENT

Phone:

2124758833

Taxonomy:

Selected Taxonomy:

207RI0200X - Infectious Disease Physician

Is Primary:

Yes

Contacts:

Phone:

+1 212-477-8833

Fax:

2129821880

Form 5500 Series

Employer Identification Number (EIN):

132702178

Plan Year:

2023

Number Of Participants:

14

Sponsors Telephone Number:

2124758833

File:

Plan Year:

2022

Number Of Participants:

11

Sponsors Telephone Number:

2124758833

File:

Plan Year:

2021

Number Of Participants:

16

Sponsors Telephone Number:

2124758833

File:

Plan Year:

2020

Number Of Participants:

16

Sponsors Telephone Number:

2124758833

File:

Plan Year:

2019

Number Of Participants:

13

Sponsors Telephone Number:

2124758833

File:

History

Start date	End date	Type	Value
2001-07-20	2002-01-04	Address	145 E 19TH ST, NEW YORK, NY, 10003, USA (Type of address: Service of Process)
2001-07-20	2002-01-04	Address	145 E 19TH ST, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2001-07-20	2002-01-04	Address	145 E 19TH ST, NEW YORK, NY, 10003, USA (Type of address: Principal Executive Office)
1999-10-27	2001-06-08	Name	MANDELL, KARTER, GILBERT, M.D.'S, P.C.
1994-05-02	1999-10-27	Name	KISLAK, MANDELL, KARTER, M.D.'S, P.C.

Filings

Filing Number	Date Filed	Type	Effective Date
141224002034	2014-12-24	BIENNIAL STATEMENT	2014-01-01
120214002362	2012-02-14	BIENNIAL STATEMENT	2012-01-01
100121002420	2010-01-21	BIENNIAL STATEMENT	2010-01-01
080207002976	2008-02-07	BIENNIAL STATEMENT	2008-01-01
060210003051	2006-02-10	BIENNIAL STATEMENT	2006-01-01

Paycheck Protection Program

Jobs Reported:

13

Initial Approval Amount:

$243,301

Date Approved:

2021-02-26

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$243,301

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Non-Veteran

Forgiveness Amount:

$246,040.64

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $243,298
Utilities: $1

Jobs Reported:

12

Initial Approval Amount:

$200,700

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$200,700

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Non-Veteran

Forgiveness Amount:

$203,476.81

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $200,700

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State