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DANIEL J. ROSEN, M.D., P.C.

DANIEL J. ROSEN, M.D., P.C.

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Company Details

Name:	DANIEL J. ROSEN, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	20 Jan 2012 (14 years ago)
Entity Number:	4191523
ZIP code:	10075
County:	New York
Place of Formation:	New York
Address:	200 EAST 78TH ST, STE 1A, New York, NY, United States, 10075
Principal Address:	200 EAST 78TH ST, STE 1A, NEW YORK, NY, United States, 10075

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
DANIEL J ROSEN	Chief Executive Officer	200 EAST 78TH ST, STE 1A, NEW YORK, NY, United States, 10075

DOS Process Agent

Name	Role	Address
DANIEL J ROSEN, MD	DOS Process Agent	200 EAST 78TH ST, STE 1A, New York, NY, United States, 10075

National Provider Identifier

NPI Number:

1619248150

Certification Date:

2024-11-07

Link:

View on NPI website

Authorized Person:

Name:

DR. DANIEL JOSEPH ROSEN

Role:

OWNER

Phone:

6462623006

Taxonomy:

Selected Taxonomy:

208600000X - Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 212-288-6380

Fax:

2125370345

Phone:

+1 646-262-3006

Form 5500 Series

Employer Identification Number (EIN):

454340229

Plan Year:

2023

Number Of Participants:

4

Sponsors Telephone Number:

6462623006

File:

Plan Year:

2023

Number Of Participants:

8

Sponsors Telephone Number:

6462623006

File:

Plan Year:

2022

Number Of Participants:

8

Sponsors Telephone Number:

6242623006

File:

Plan Year:

2022

Number Of Participants:

4

Sponsors Telephone Number:

6242623006

File:

Plan Year:

2021

Number Of Participants:

4

Sponsors Telephone Number:

6242623006

File:

Filings

Filing Number	Date Filed	Type	Effective Date
211207002992	2021-12-07	BIENNIAL STATEMENT	2021-12-07
140410002005	2014-04-10	BIENNIAL STATEMENT	2014-01-01
120120000812	2012-01-20	CERTIFICATE OF INCORPORATION	2012-01-20

Paycheck Protection Program

Jobs Reported:

3

Initial Approval Amount:

$31,477.3

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$31,477.3

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$31,863.77

Servicing Lender:

Dime Community Bank

Use of Proceeds:

Payroll: $31,477.3

Jobs Reported:

4

Initial Approval Amount:

$31,475

Date Approved:

2021-02-26

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$31,475

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$31,871.67

Servicing Lender:

Loan Source Incorporated

Use of Proceeds:

Payroll: $31,469
Utilities: $1

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State