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WEST SAYVILLE PEDIATRICS N.P., P.C.

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Company Details

Name: WEST SAYVILLE PEDIATRICS N.P., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Aug 2007 (18 years ago)
Entity Number: 3553748
ZIP code: 11796
County: Suffolk
Place of Formation: New York
Address: 1 MONTAUK HWY, WEST SAYVILLE, NY, United States, 11796
Principal Address: 58 NEWPORT BEACH BLVD, EAST MORICHES, NY, United States, 11940

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
TERESA GUTHRIE RNPNP Chief Executive Officer 1 MONTAUK HWY, WEST SAYVILLE, NY, United States, 11796

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1 MONTAUK HWY, WEST SAYVILLE, NY, United States, 11796

National Provider Identifier

NPI Number:
1477721678

Authorized Person:

Name:
TERESA GUTHRIE
Role:
RN PNP/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
6312442866

Form 5500 Series

Employer Identification Number (EIN):
260824796
Plan Year:
2013
Number Of Participants:
12
Sponsors Telephone Number:

History

Start date End date Type Value
2007-08-08 2024-04-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2007-08-08 2017-10-24 Address 58 NEWPORT BEACH BOULEVARD, EAST MORICHES, NY, 11940, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171024002036 2017-10-24 BIENNIAL STATEMENT 2017-08-01
070808000669 2007-08-08 CERTIFICATE OF INCORPORATION 2007-08-08

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
138237.00
Total Face Value Of Loan:
138237.00

Paycheck Protection Program

Jobs Reported:
23
Initial Approval Amount:
$138,237
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$138,237
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$139,304.5
Servicing Lender:
Dime Community Bank
Use of Proceeds:
Payroll: $138,237
Jobs Reported:
23
Initial Approval Amount:
$126,337
Date Approved:
2021-02-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$126,337
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$127,209.24
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $126,332
Utilities: $1

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State