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ACHILLES MEDICAL P.C.

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Company Details

Name: ACHILLES MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Nov 2011 (14 years ago)
Entity Number: 4161956
ZIP code: 10128
County: New York
Place of Formation: New York
Address: 177 EAST 87TH STREET, SUITE 406, NEW YORK, NY, United States, 10128
Principal Address: 177 EAST 87TH ST, NEW YORK, NY, United States, 10128

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DR. TATIANA MAMAEVA Chief Executive Officer 177 EAST 87TH ST, NEW YORK, NY, United States, 10128

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 177 EAST 87TH STREET, SUITE 406, NEW YORK, NY, United States, 10128

National Provider Identifier

NPI Number:
1205113719

Authorized Person:

Name:
RICHARD E PEARL
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2124103507

Form 5500 Series

Employer Identification Number (EIN):
453774573
Plan Year:
2012
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
19
Sponsors Telephone Number:

History

Start date End date Type Value
2014-01-31 2018-03-14 Address 177 EAST 87TH ST, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
180314006034 2018-03-14 BIENNIAL STATEMENT 2017-11-01
141017000674 2014-10-17 CERTIFICATE OF AMENDMENT 2014-10-17
140131002354 2014-01-31 BIENNIAL STATEMENT 2013-11-01
111104000246 2011-11-04 CERTIFICATE OF INCORPORATION 2011-11-04

Court Cases

Court Case Summary

Filing Date:
2016-09-13
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Neither plaintiff nor defendant demands jury
Nature Of Suit:
Employee Retirement Income Security Act (ERISA)

Parties

Party Name:
ACHILLES MEDICAL P.C.
Party Role:
Plaintiff
Party Name:
NATIONAL RAILROAD PASSENGER C
Party Role:
Defendant

Court Case Summary

Filing Date:
2014-11-19
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Neither plaintiff nor defendant demands jury
Nature Of Suit:
Employee Retirement Income Security Act (ERISA)

Parties

Party Name:
ACHILLES MEDICAL P.C.
Party Role:
Plaintiff
Party Name:
UNITEDHEALTHCARE
Party Role:
Defendant
Party Role:
Defendant

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State