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FOUNTAIN PULMONARY P.C.

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Company Details

Name: FOUNTAIN PULMONARY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Jun 2005 (20 years ago)
Entity Number: 3222422
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 800 MANOR ROAD, SUITE 3, STATEN ISLAND, NJ, United States, 10314
Principal Address: 800 MANOR ROAD, SUITE 3, STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 347-562-2753

Phone +1 718-818-1234

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
FOUNTAIN PULMONARY P.C. DOS Process Agent 800 MANOR ROAD, SUITE 3, STATEN ISLAND, NJ, United States, 10314

Chief Executive Officer

Name Role Address
ADEBAMBO D OLAJITAN M.D. Chief Executive Officer 800 MANOR ROAD, SUITE #3, STATEN ISLAND, NY, United States, 10314

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
72A91
UEI Expiration Date:
2020-01-15

Business Information

Activation Date:
2019-01-15
Initial Registration Date:
2014-01-29

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
72A91
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-02
CAGE Expiration:
2027-02-09
SAM Expiration:
2023-03-10

Contact Information

POC:
ADEBAMBO OLAJITAN
Phone:
+1 347-562-2753
Fax:
+1 347-289-5100

National Provider Identifier

NPI Number:
1902816051

Authorized Person:

Name:
DR. ADEBAMBO DOLAPO OLAJITAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
3472895100

History

Start date End date Type Value
2007-06-27 2021-06-01 Address 800 MANOR ROAD, SUITE 3, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)
2005-06-23 2007-06-27 Address 27 NATALIE COURT, STATEN ISLAND, NY, 10304, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210601060870 2021-06-01 BIENNIAL STATEMENT 2021-06-01
170601006582 2017-06-01 BIENNIAL STATEMENT 2017-06-01
150601006376 2015-06-01 BIENNIAL STATEMENT 2015-06-01
130705006118 2013-07-05 BIENNIAL STATEMENT 2013-06-01
090528002586 2009-05-28 BIENNIAL STATEMENT 2009-06-01

USAspending Awards / Financial Assistance

Date:
2020-05-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1900.00
Total Face Value Of Loan:
1900.00

Paycheck Protection Program

Date Approved:
2020-05-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1900
Current Approval Amount:
1900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1922.91

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State