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TBHC PEDIATRIC SERVICES, P.C.

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Company Details

Name: TBHC PEDIATRIC SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Apr 2009 (16 years ago)
Entity Number: 3802661
ZIP code: 11201
County: Kings
Place of Formation: New York
Address: C/O THE BROOKLYN HOSPITAL CTR., 121 DE KALB AVENUE, BROOKLYN, NY, United States, 11201
Principal Address: 121 DEKALB AVENUE, BROOKLYN, NY, United States, 11201

Contact Details

Phone +1 718-250-8671

Phone +1 718-455-9000

Phone +1 718-940-5050

Phone +1 718-826-5600

Phone +1 718-250-6911

Phone +1 718-250-8464

Phone +1 718-851-2323

Phone +1 718-599-6200

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
KENNETH BROMBERG, MD Chief Executive Officer 121 DEKALB AVENUE, BROOKLYN, NY, United States, 11201

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O THE BROOKLYN HOSPITAL CTR., 121 DE KALB AVENUE, BROOKLYN, NY, United States, 11201

National Provider Identifier

NPI Number:
1861628091
Certification Date:
2025-04-10

Authorized Person:

Name:
KENNETH BROMBERG
Role:
SHAREHOLDER
Phone:

Taxonomy:

Selected Taxonomy:
207SG0201X - Clinical Genetics (M.D.) Physician
Is Primary:
No
Selected Taxonomy:
2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary:
No
Selected Taxonomy:
2080N0001X - Neonatal-Perinatal Medicine Physician
Is Primary:
No
Selected Taxonomy:
2080P0202X - Pediatric Cardiology Physician
Is Primary:
No
Selected Taxonomy:
2080P0203X - Pediatric Critical Care Medicine Physician
Is Primary:
No

Contacts:

Fax:
3153625179
Fax:
7182506850

Filings

Filing Number Date Filed Type Effective Date
150724002008 2015-07-24 BIENNIAL STATEMENT 2015-04-01
120727000702 2012-07-27 CERTIFICATE OF AMENDMENT 2012-07-27
090424000549 2009-04-24 CERTIFICATE OF INCORPORATION 2009-04-24

Tax Exempt

Employer Identification Number (EIN) :
27-0174684
In Care Of Name:
% JOHN WALSH
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:
2012-09
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. 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