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HARBOR VIEW MEDICAL SERVICES, P.C.

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Company Details

Name: HARBOR VIEW MEDICAL 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: 3784765
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 70 NORTH COUNTRY ROAD, SUITE 303, PORT JEFFERSON, NY, United States, 11777

Contact Details

Phone +1 631-686-1409

Phone +1 631-743-6840

Phone +1 631-938-6999

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Phone +1 631-361-2020

Phone +1 631-862-8000

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Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JOSEPH NG, MD, MBA Chief Executive Officer 70 NORTH COUNTRY ROAD, SUITE 303, PORT JEFFERSON, NY, United States, 11777

DOS Process Agent

Name Role Address
HARBOR VIEW MEDICAL SERVICES, P.C. DOS Process Agent 70 NORTH COUNTRY ROAD, SUITE 303, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1306631742
Certification Date:
2025-04-14

Authorized Person:

Name:
SHARLENE BRONSTORPH
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
264517010
Plan Year:
2014
Number Of Participants:
63
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
63
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:

History

Start date End date Type Value
2025-03-11 2025-03-11 Address 70 NORTH COUNTRY ROAD, SUITE 303, PORT JEFFERSON, NY, 11777, USA (Type of address: Chief Executive Officer)
2023-07-04 2025-03-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-14 2023-07-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-16 2023-06-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-01 2023-05-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250311004686 2025-03-11 BIENNIAL STATEMENT 2025-03-11
230301004440 2023-03-01 BIENNIAL STATEMENT 2023-03-01
210302061082 2021-03-02 BIENNIAL STATEMENT 2021-03-01
200318060117 2020-03-18 BIENNIAL STATEMENT 2019-03-01
130128000942 2013-01-28 CERTIFICATE OF AMENDMENT 2013-01-28

Tax Exempt

Employer Identification Number (EIN) :
26-4517010
In Care Of Name:
% NORTHWELL HEALTH INC
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2013-02
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A Type I, Type II, or functionally integrated Type III supporting organization. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State