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PREMIER PHYSICAL MEDICINE & REHABILITATION, P.C.

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Company Details

Name: PREMIER PHYSICAL MEDICINE & REHABILITATION, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jul 2008 (17 years ago)
Entity Number: 3697198
ZIP code: 11580
County: Queens
Place of Formation: New York
Address: 54 W MERRICK ROAD, VALLEY STREAM, NY, United States, 11580

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
RAJ D. TOLAT Agent 257-05 87 ROAD, FLORAL PARK, NY, 11001

DOS Process Agent

Name Role Address
PREMIER PHYSICAL MEDICINE & REHABILITATION, P.C. DOS Process Agent 54 W MERRICK ROAD, VALLEY STREAM, NY, United States, 11580

Chief Executive Officer

Name Role Address
RAJ TOLAT MD Chief Executive Officer 54 W MERRICK ROAD, VALLEY STREAM, NY, United States, 11580

National Provider Identifier

NPI Number:
1245482454

Authorized Person:

Name:
DR. RAJ TOLAT
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
800234941
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:

History

Start date End date Type Value
2025-06-28 2025-06-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-03-28 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-02-26 2025-03-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-01-06 2025-02-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-12-17 2025-01-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240702002694 2024-07-02 BIENNIAL STATEMENT 2024-07-02
220117001592 2022-01-17 BIENNIAL STATEMENT 2022-01-17
100810002059 2010-08-10 BIENNIAL STATEMENT 2010-07-01
081002000027 2008-10-02 CERTIFICATE OF AMENDMENT 2008-10-02
080717000039 2008-07-17 CERTIFICATE OF INCORPORATION 2008-07-17

Paycheck Protection Program

Jobs Reported:
61
Initial Approval Amount:
$327,980
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$327,980
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$331,426.34
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $327,980
Utilities: $0
Mortgage Interest: $0
Rent: $0
Refinance EIDL: $0
Healthcare: $0
Debt Interest: $0

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State