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PHYSICIAN AFFILIATE GROUP OF NEW YORK, P.C.

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Company Details

Name: PHYSICIAN AFFILIATE GROUP OF NEW YORK, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Aug 2010 (15 years ago)
Entity Number: 3989522
ZIP code: 10170
County: New York
Place of Formation: New York
Address: 420 Lexington Avenue, Suite 1750, New York, NY, United States, 10170

Shares Details

Shares issued 100

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
PHYSICIAN AFFILIATE GROUP OF NEW YORK, P.C. DOS Process Agent 420 Lexington Avenue, Suite 1750, New York, NY, United States, 10170

Chief Executive Officer

Name Role Address
EDWARD CHEW, M.D. Chief Executive Officer 420 LEXINGTON AVENUE, SUITE 1750, BRONX, NY, United States, 10170

Unique Entity ID

Unique Entity ID:
QCPTVMEWFWK6
CAGE Code:
94RS2
UEI Expiration Date:
2024-07-16

Business Information

Doing Business As:
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
Division Name:
PHYSICIAN AFFILIATE GROUP OF NEW YORK, P.C.
Activation Date:
2023-07-24
Initial Registration Date:
2021-08-05

Commercial and government entity program

CAGE number:
94RS2
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-07-16
CAGE Expiration:
2028-07-24
SAM Expiration:
2024-07-16

Contact Information

POC:
MARYANNE RIVERA
Corporate URL:
https://www.pagny.org/

National Provider Identifier

NPI Number:
1013375526
Certification Date:
2020-09-15

Authorized Person:

Name:
MR. MICHAEL H. LEWENSOHN
Role:
MEDICAL CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-11-01 2025-03-14 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 0.01
2024-08-12 2024-08-12 Address 55 WEST 125TH STREET, SUITE 1001, NEW YORK, NY, 10027, USA (Type of address: Chief Executive Officer)
2024-08-12 2024-08-12 Address 420 LEXINGTON AVENUE, SUITE 1750, BRONX, NY, 10170, USA (Type of address: Chief Executive Officer)
2024-08-12 2024-11-01 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 0.01
2024-01-11 2024-08-12 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 0.01

Filings

Filing Number Date Filed Type Effective Date
240812001346 2024-08-12 BIENNIAL STATEMENT 2024-08-12
220831000311 2022-08-31 BIENNIAL STATEMENT 2022-08-01
200824060111 2020-08-24 BIENNIAL STATEMENT 2020-08-01
180801006799 2018-08-01 BIENNIAL STATEMENT 2018-08-01
160811006346 2016-08-11 BIENNIAL STATEMENT 2016-08-01

OSHA's Inspections within Industry

Inspection Summary

Date:
2019-06-13
Type:
Complaint
Address:
275 ATLANTIC AVE., BROOKLYN, NY, 11201
Safety Health:
Safety
Scope:
Complete

Tax Exempt

Employer Identification Number (EIN) :
90-0603487
In Care Of Name:
% ANTHONY MIRDITA
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:
2013-12
National Taxonomy Of Exempt Entities:
Health Care: Hospitals and Related Primary Medical Care Facilities
Deductibility:
Type of organization and use of contribution: A public charity. 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