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JFK ADVANCED MEDICAL P.C.

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Company Details

Name: JFK ADVANCED MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Oct 2005 (20 years ago)
Entity Number: 3270833
ZIP code: 11374
County: Queens
Place of Formation: New York
Address: 63-36 99TH STREET, 1ST FLOOR, REGO PARK, NY, United States, 11374

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JFK ADVANCED MEDICAL P.C. DOS Process Agent 63-36 99TH STREET, 1ST FLOOR, REGO PARK, NY, United States, 11374

Chief Executive Officer

Name Role Address
REGINA MOSHE Chief Executive Officer 63-36 99TH ST, 1ST FLOOR, REGO PARK, NY, United States, 11374

Unique Entity ID

CAGE Code:
5MGA0
UEI Expiration Date:
2021-03-24

Business Information

Activation Date:
2020-03-24
Initial Registration Date:
2009-08-06

Commercial and government entity program

CAGE number:
5MGA0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-03
CAGE Expiration:
2027-09-01
SAM Expiration:
2023-09-01

Contact Information

POC:
RAYMOND KAYUME

National Provider Identifier

NPI Number:
1871804062

Authorized Person:

Name:
DAVID ROSENTHAL
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QX0100X - Occupational Medicine Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QX0100X - Occupational Medicine Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7186569503

History

Start date End date Type Value
2015-08-06 2020-01-15 Address JFK INT'L AIRPORT, BLDG 75 STE 249, JAMAICA, NY, 11430, USA (Type of address: Service of Process)
2015-08-06 2020-01-15 Address JFK INT'L AIRPORT, BLDG 75 STE 249, JAMAICA, NY, 11430, USA (Type of address: Principal Executive Office)
2015-08-06 2020-01-15 Address JFK INT'L AIRPORT, BLDG 75 STE 249, JAMAICA, NY, 11430, USA (Type of address: Chief Executive Officer)
2007-10-29 2015-08-06 Address 195-03 HILLSIDE AVE, HOLLIS, NY, 11423, USA (Type of address: Chief Executive Officer)
2007-10-29 2015-08-06 Address JFK INT'L AIRPORT, BLDG #198, KMO, JAMAICA, NY, 11430, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
200115060430 2020-01-15 BIENNIAL STATEMENT 2019-10-01
150806002006 2015-08-06 BIENNIAL STATEMENT 2013-10-01
071029002490 2007-10-29 BIENNIAL STATEMENT 2007-10-01
051019000957 2005-10-19 CERTIFICATE OF INCORPORATION 2005-10-19

USAspending Awards / Contracts

Procurement Instrument Identifier:
HSBP1010A00048
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Homeland Security
Performance Start Date:
2010-04-01
Description:
ADDITIONAL FUNDING FOR JFK MEDICAL SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES
Procurement Instrument Identifier:
HSBP1010P00315
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
6400.00
Base And Exercised Options Value:
6400.00
Base And All Options Value:
6400.00
Awarding Agency Name:
Department of Homeland Security
Performance Start Date:
2009-12-10
Description:
FLU SHOTS
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
9999: MISCELLANEOUS ITEMS

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State