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ISLAND NEPHROLOGY P.C.

ISLAND NEPHROLOGY P.C.

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Company Details

Name:	ISLAND NEPHROLOGY P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	22 Dec 2009 (16 years ago)
Entity Number:	3891654
ZIP code:	11733
County:	Suffolk
Place of Formation:	New York
Address:	18 FIELDHOUSE AVENUE, EAST SETAUKET, NY, United States, 11733

Contact Details

Phone +1 631-479-3744

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
ASHFAQ HUSSAIN	Chief Executive Officer	18 FIELDHOUSE AVENUE, EAST SETAUKET, NY, United States, 11733

DOS Process Agent

Name	Role	Address
ISLAND NEPHROLOGY P.C.	DOS Process Agent	18 FIELDHOUSE AVENUE, EAST SETAUKET, NY, United States, 11733

National Provider Identifier

NPI Number:

1497086235

Link:

View on NPI website

Authorized Person:

Name:

DR. ASHFAQ HUSSAIN

Role:

SOLE PROPRIETOR

Phone:

6314564447

Taxonomy:

Selected Taxonomy:

207RN0300X - Nephrology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 631-456-4447

Fax:

5612823238

Phone:

+1 631-479-3743

Form 5500 Series

Employer Identification Number (EIN):

271546572

Plan Year:

2022

Number Of Participants:

1

Sponsors Telephone Number:

6319419153

File:

Plan Year:

2022

Number Of Participants:

1

Sponsors Telephone Number:

6319419153

File:

Plan Year:

2021

Number Of Participants:

1

Sponsors Telephone Number:

6319419153

File:

Plan Year:

2020

Number Of Participants:

1

Sponsors Telephone Number:

6319419153

File:

Plan Year:

2019

Number Of Participants:

1

Sponsors Telephone Number:

6319419153

File:

History

Start date	End date	Type	Value
2009-12-22	2014-05-14	Address	226 BELLE MEAD ROAD STE C, SETAUKET, NY, 11733, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
191210060346	2019-12-10	BIENNIAL STATEMENT	2019-12-01
151203006166	2015-12-03	BIENNIAL STATEMENT	2015-12-01
140514006172	2014-05-14	BIENNIAL STATEMENT	2013-12-01
091222000646	2009-12-22	CERTIFICATE OF INCORPORATION	2009-12-22

Paycheck Protection Program

Jobs Reported:

1

Initial Approval Amount:

$20,832

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$20,832

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$21,021.41

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $20,832

Jobs Reported:

1

Initial Approval Amount:

$20,832

Date Approved:

2021-01-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$20,832

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$21,010.07

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $20,832

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State