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WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, P.C.

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Company Details

Name: WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Mar 2009 (16 years ago)
Entity Number: 3784762
ZIP code: 10532
County: Westchester
Place of Formation: New York
Address: 19 Bradhurst Ave, Suite 3100N, Hawthorne, NY, United States, 10532
Principal Address: 100 WOODS Road, D232 TAYLOR PAVILION 2ND FL, VALHALLA, NY, United States, 10595

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O WESTCHESTER COUNTY HEALTH CARE CORPORATION DOS Process Agent 19 Bradhurst Ave, Suite 3100N, Hawthorne, NY, United States, 10532

Chief Executive Officer

Name Role Address
SEAN S. TEDJARATI, MD Chief Executive Officer 100 WOODS ROAD, VALHALLA, NY, United States, 10595

Unique Entity ID

Unique Entity ID:
NDWNUE6P8YV5
CAGE Code:
6EGH0
UEI Expiration Date:
2026-06-03

Business Information

Activation Date:
2025-06-05
Initial Registration Date:
2011-05-26

Commercial and government entity program

CAGE number:
6EGH0
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-05
SAM Expiration:
2026-06-03

Contact Information

POC:
VISHAL DESAI

National Provider Identifier

NPI Number:
1912384223

Authorized Person:

Name:
DR. GEORGE NEUMAN
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
9149099025

Form 5500 Series

Employer Identification Number (EIN):
264709927
Plan Year:
2010
Number Of Participants:
61
Sponsors Telephone Number:

History

Start date End date Type Value
2025-06-12 2025-06-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-03-07 2025-06-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-03-05 2025-03-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-03-05 2025-03-05 Address 100 WOODS ROAD, VALHALLA, NY, 10595, USA (Type of address: Chief Executive Officer)
2025-01-29 2025-01-29 Address 100 WOODS ROAD, VALHALLA, NY, 10595, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250305003213 2025-03-05 BIENNIAL STATEMENT 2025-03-05
250129000507 2025-01-28 CERTIFICATE OF AMENDMENT 2025-01-28
240514002653 2024-05-14 BIENNIAL STATEMENT 2024-05-14
150402002041 2015-04-02 BIENNIAL STATEMENT 2015-03-01
110520002584 2011-05-20 BIENNIAL STATEMENT 2011-03-01

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24313P0661
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
1758.00
Base And Exercised Options Value:
1758.00
Base And All Options Value:
1758.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2013-01-11
Description:
IGF::CT::IGF
Naics Code:
541380: TESTING LABORATORIES
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
DJBP0211MB210005
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
5000.00
Base And Exercised Options Value:
5000.00
Base And All Options Value:
5000.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-10-15
Description:
IGF::OT::IGF PHYSICIAN SERVICES PROVIDED ON 10/11/12
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q999: MEDICAL- OTHER
Procurement Instrument Identifier:
DJBP0211LB210153
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
5000.00
Base And Exercised Options Value:
5000.00
Base And All Options Value:
5000.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-08-31
Description:
IGF::OT::IGF PHYSICIAN SERVICES PROVIDED ON 8/28/12
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q999: MEDICAL- OTHER

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State