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  5. NORTH SHORE-LIJ MEDICAL GROUP AT SYOSSET, P.C.

NORTH SHORE-LIJ MEDICAL GROUP AT SYOSSET, P.C.

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Company Details

Name: NORTH SHORE-LIJ MEDICAL GROUP AT SYOSSET, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Nov 2010 (15 years ago)
Entity Number: 4017843
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

Shares Details

Shares issued 100

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
C/O OFFICE OF LEGAL AFFAIRS, ATT: GENERAL COUNSEL DOS Process Agent 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

Chief Executive Officer

Name Role Address
MICHAEL J. DOWLING Chief Executive Officer 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

National Provider Identifier

NPI Number:
1831494061
Certification Date:
2022-07-26
Link:
View on NPI website

Authorized Person:

Name:
MRS. MICHELE CUSAK
Role:
CFO
Phone:
5164658182

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Phone:
+1 516-465-8162

History

Start date End date Type Value
2025-04-29 2025-04-29 Address 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Chief Executive Officer)
2025-04-09 2025-04-29 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 1
2017-10-24 2025-04-29 Address 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)
2010-11-10 2017-10-24 Address C/O NORTH SHORE-LIJ HEALTH SYS, GENERAL COUNSEL, 145 COMM. DR., GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
2010-11-10 2025-04-09 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 1

Filings

Filing Number Date Filed Type Effective Date
250429002872 2025-04-29 BIENNIAL STATEMENT 2025-04-29
210722001136 2021-07-22 BIENNIAL STATEMENT 2021-07-22
171024000259 2017-10-24 CERTIFICATE OF CHANGE 2017-10-24
101110000270 2010-11-10 CERTIFICATE OF INCORPORATION 2010-11-10

Tax Exempt

Employer Identification Number (EIN) :
27-3957752
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:
2018-10
National Taxonomy Of Exempt Entities:
Health Care: Hospitals and Related Primary Medical Care Facilities
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

Link:
Download file
Link:
Download file

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Related by officers

C/O OFFICE OF LEGAL AFFAIRS, ATT: GENERAL COUNSEL

NORTH SHORE-LIJ HEART SURGERY, P.C. NORTH SHORE-LIJ INTERNAL MEDICINE AT LYNBROOK, P.C. NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON, P.C. NORTH SHORE-LIJ OB-GYN AT GARDEN CITY, P.C. NORTH SHORE-LIJ OB-GYN, P.C. NORTH SHORE-LIJ OCCUPATIONAL MEDICINE, P.C. NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK COUNTY, P.C. NORTH SHORE-LIJ OB-GYN AT NEW HYDE PARK, P.C. NORTH SHORE-LIJ INTERNAL MEDICINE AT NEW HYDE PARK, P.C. NORTH SHORE-LIJ MEDICAL GROUP URGENT MEDICAL CARE, P.C.

MICHAEL J. DOWLING

NORTH SHORE-LIJ MEDICAL, P.C. STATEN ISLAND NEONATOLOGY, P.C. CARNEGIE CARDIOVASCULAR, P.C. COMMUNITY DRIVE SURGERY, P.C. LENOX HILL INTERVENTIONAL CARDIAC & VASCULAR SERVICES, P.C. BLACK HALL ORAL MAXILLOFACIAL SURGERY, P.C. MEDICAL SERVICES OF RIVERHEAD, P.C. LAKEVILLE SURGERY, P.C. TRUE NORTH WORKFORCE SAFETY CONSULTING, INC. TRUE NORTH MEDICAL OF SOUTH NASSAU, P.C.

Related by address

2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

ACTIVITY WORKS, LLC ADVANCED HEART PHYSICIANS & SURGEONS NETWORK, P.C. ALETTA CORPORATION ANESTHESIA MANAGEMENT SERVICES, LLC BLUE SKY DEVELOPMENT GROUP, LLC CARE MANAGEMENT GROUP OF GREATER NEW YORK, INC. CARE PHYSICIANS RISK PURCHASING GROUP, LLC CARNEGIE CARDIOVASCULAR, P.C. CBEM MANAGEMENT COMPANY, LLC COMMUNITY DRIVE SURGERY, P.C.

Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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