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SAMARITAN MEDICAL SERVICES, P.C.

Company Details

Name: SAMARITAN MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Nov 2006 (19 years ago)
Entity Number: 3440272
ZIP code: 11570
County: Suffolk
Place of Formation: New York
Address: ATTENTION: GENERAL COUNSEL, 992 NORTH VILLAGE AVENUE, ROCKVILLE CENTRE, NY, United States, 11570
Principal Address: Catholic Health, 992 North Village Avenue, Rockville Centre, NY, United States, 11570

Contact Details

Phone +1 516-325-7520

Phone +1 631-376-4335

Phone +1 516-705-2689

Phone +1 631-716-9026

Phone +1 631-854-1700

Phone +1 631-474-6000

Phone +1 516-579-6900

Phone +1 631-862-3307

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DONALD TEPLITZ Chief Executive Officer C/O: CATHOLIC HEALTH, 992 NORTH VILLAGE AVENUE, ROCKVILLE CENTRE, NY, United States, 11570

DOS Process Agent

Name Role Address
CATHOLIC HEALTH DOS Process Agent ATTENTION: GENERAL COUNSEL, 992 NORTH VILLAGE AVENUE, ROCKVILLE CENTRE, NY, United States, 11570

National Provider Identifier

NPI Number:
1124184544

Authorized Person:

Name:
MR. DAVE M HANNIGAN JR.
Role:
PHYSICIANS BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6312248560

History

Start date End date Type Value
2024-03-15 2024-03-15 Address 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2024-03-15 2024-03-15 Address C/O: CATHOLIC HEALTH, 992 NORTH VILLAGE AVENUE, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Chief Executive Officer)
2023-10-30 2024-03-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2015-01-20 2024-03-15 Address ATTN STEPHEN TRYPON, 1000 MONTAUK PKWY, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)
2013-04-05 2024-03-15 Address 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240315003346 2024-03-15 BIENNIAL STATEMENT 2024-03-15
150120002013 2015-01-20 BIENNIAL STATEMENT 2014-11-01
130405002024 2013-04-05 BIENNIAL STATEMENT 2012-11-01
081209003261 2008-12-09 BIENNIAL STATEMENT 2008-11-01
070228000280 2007-02-28 CERTIFICATE OF CHANGE 2007-02-28

Date of last update: 28 Mar 2025

Sources: New York Secretary of State