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CENTRAL PARK MEDICAL PRACTICE P.C.

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Company Details

Name: CENTRAL PARK MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jan 2008 (18 years ago)
Entity Number: 3618082
ZIP code: 07002
County: New York
Place of Formation: New York
Address: 280 KENNEDY BLVD, BAYONNE, NJ, United States, 07002
Principal Address: 134 WEST 58TH ST`, 102, NEW YORK, NY, United States, 10019

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SHAHNOZ RUSTAMOVA, MD Chief Executive Officer 134 WEST 58TH ST, 102, NEW YORK, NY, United States, 10019

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 280 KENNEDY BLVD, BAYONNE, NJ, United States, 07002

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
SHAHNOZ RUSTAMOVA
Ownership and Self-Certifications:
Women-Owned Small Business, Woman Owned
User ID:
P2042555
Trade Name:
CENTRAL PARK MEDICAL PRACTICE

Unique Entity ID

Unique Entity ID:
MN9HMR9EL475
CAGE Code:
7KZG2
UEI Expiration Date:
2026-03-07

Business Information

Doing Business As:
CENTRAL PARK MEDICAL PRACTICE
Activation Date:
2025-03-11
Initial Registration Date:
2016-03-02

Commercial and government entity program

CAGE number:
7Z0E4
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-13
CAGE Expiration:
2024-11-12
SAM Expiration:
2020-11-11

Contact Information

POC:
SHAHNOZ RUSTAMOVA

National Provider Identifier

NPI Number:
1396901468

Authorized Person:

Name:
SHAHNOZ RUSTAMOVA
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2129740493

Filings

Filing Number Date Filed Type Effective Date
200106060613 2020-01-06 BIENNIAL STATEMENT 2020-01-01
190501061423 2019-05-01 BIENNIAL STATEMENT 2018-01-01
140212002099 2014-02-12 BIENNIAL STATEMENT 2014-01-01
120221002032 2012-02-21 BIENNIAL STATEMENT 2012-01-01
100319002302 2010-03-19 BIENNIAL STATEMENT 2010-01-01

USAspending Awards / Contracts

Procurement Instrument Identifier:
70FB7020F00000136
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
18175.00
Base And Exercised Options Value:
18175.00
Base And All Options Value:
18175.00
Awarding Agency Name:
Department of Homeland Security
Performance Start Date:
2020-06-16
Description:
THE PURPOSE OF THIS DELIVER ORDER IS TO PURCHASE ONE COMPLETE CONSUMABLE MEDICAL SUPPLIES KIT FOR DISTRIBUTION CENTER FREDERICK.
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
70FB7020F00000128
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
61312.50
Base And Exercised Options Value:
61312.50
Base And All Options Value:
61312.50
Awarding Agency Name:
Department of Homeland Security
Performance Start Date:
2020-05-30
Description:
THE PURPOSE OF THIS DELIVERY ORDER IS TO PROCURE 9 CONSUMABLE MEDICAL SUPPLIES FOR THREE DISTRIBUTION CENTERS TO PREPARE FOR HURRICANE SEASON.
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
70FB7019F00000094
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
41525.00
Base And Exercised Options Value:
41525.00
Base And All Options Value:
41525.00
Awarding Agency Name:
Department of Homeland Security
Performance Start Date:
2019-09-04
Description:
REPLENISH LIFE CYCLE COMMODITIES IN THE CONSUMABLE SUPPLY KITS FOR DC FT WORTH, DC ATLANTA, AND DC TRACY
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

USAspending Awards / Financial Assistance

Date:
2021-10-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: DIRECT LOANS ACTIVITIES TO BE PERFORMED: PROVIDE LOANS TO BUSINESSES IMPACTED BY THE COVID-19 PANDEMIC FOR UNINSURED OR OTHERWISE UNCOMPENSATED ECONOMIC INJURY. DELIVERABLES: LOANS EXPECTED OUTCOMES: EXPECTED OUTCOMES: ENABLE BUSINESSES TO FUND POST-DISASTER ORDINARY AND NECESSARY OPERATING EXPENSES UNTIL NORMAL OPERATIONS RESUME INTENDED BENEFICIARIES: SURVIVORS OF DISASTER SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
1500000.00
Total Face Value Of Loan:
2000000.00
Date:
2020-05-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
2000000.00
Date:
2020-05-05
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:
21789.00
Total Face Value Of Loan:
152337.00
Date:
2020-04-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$130,548
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$152,337
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$150,359.8
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $152,337
Jobs Reported:
12
Initial Approval Amount:
$130,547
Date Approved:
2021-03-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$130,547
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$131,752.32
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $130,545
Utilities: $1

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State