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NORTH SHORE DIGESTIVE MEDICINE, P.C.

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Company Details

Name: NORTH SHORE DIGESTIVE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Feb 2012 (13 years ago)
Entity Number: 4206994
ZIP code: 11787
County: Suffolk
Place of Formation: New York
Address: 50 ROUTE 111, SUITE 302, SMITHTOWN, NY, United States, 11787

Contact Details

Phone +1 631-862-3000

Phone +1 631-724-5300

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
FARZAD FOROHAR MD Chief Executive Officer 50 ROUTE 111, SUITE 302, SMITHTOWN, NY, United States, 11787

DOS Process Agent

Name Role Address
NORTH SHORE DIGESTIVE MEDICINE, P.C. DOS Process Agent 50 ROUTE 111, SUITE 302, SMITHTOWN, NY, United States, 11787

National Provider Identifier

NPI Number:
1407114960

Authorized Person:

Name:
DR. FARZAD FOROHAR
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
8005573140

Form 5500 Series

Employer Identification Number (EIN):
454638746
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:

History

Start date End date Type Value
2012-02-23 2020-03-12 Address 48 ROUTE 25A, SUITE 3, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200312060166 2020-03-12 BIENNIAL STATEMENT 2018-02-01
120223000644 2012-02-23 CERTIFICATE OF INCORPORATION 2012-02-23

USAspending Awards / Financial Assistance

Date:
2021-03-10
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
90705.00
Total Face Value Of Loan:
90705.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
153980.00
Total Face Value Of Loan:
153980.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$153,980
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$153,980
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$155,027.92
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $153,980
Jobs Reported:
11
Initial Approval Amount:
$90,705
Date Approved:
2021-03-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$90,705
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$91,319.83
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $90,705

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State