Search icon

MADISON AVENUE PERIODONTICS, P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: MADISON AVENUE PERIODONTICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Oct 1974 (51 years ago)
Entity Number: 353169
ZIP code: 10022
County: New York
Place of Formation: New York
Address: 501 MADISON AVE, NEW YORK, NY, United States, 10022

Shares Details

Shares issued 240

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MATTHEW J NEARY Chief Executive Officer 501 MADISON AVE, NEW YORK, NY, United States, 10022

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 501 MADISON AVE, NEW YORK, NY, United States, 10022

National Provider Identifier

NPI Number:
1275606865
Certification Date:
2024-09-18

Authorized Person:

Name:
JENNY GARCIA-ROCHA
Role:
SR CREDENTIALING TEAM LEAD
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2123719629

Form 5500 Series

Employer Identification Number (EIN):
132790915
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:

History

Start date End date Type Value
2024-11-14 2024-11-14 Address 501 MADISON AVE, NEW YORK, NY, 10022, USA (Type of address: Chief Executive Officer)
2024-09-13 2024-11-14 Shares Share type: NO PAR VALUE, Number of shares: 240, Par value: 0
2002-09-24 2024-11-14 Address 501 MADISON AVE, NEW YORK, NY, 10022, USA (Type of address: Chief Executive Officer)
2002-09-24 2006-10-03 Address 501 MADISON AVE, NEW YORK, NY, 10022, USA (Type of address: Principal Executive Office)
2000-10-11 2010-11-03 Name MATTHEW J. NEARY, D.D.S. AND JOHN J. LANZETTZ, D.M.D., P.C.

Filings

Filing Number Date Filed Type Effective Date
241114003750 2024-11-14 BIENNIAL STATEMENT 2024-11-14
161003006153 2016-10-03 BIENNIAL STATEMENT 2016-10-01
20160111108 2016-01-11 ASSUMED NAME CORP INITIAL FILING 2016-01-11
141001006152 2014-10-01 BIENNIAL STATEMENT 2014-10-01
121004006593 2012-10-04 BIENNIAL STATEMENT 2012-10-01

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 18 Mar 2025

Sources: New York Secretary of State