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FOREST HILLS DERMATOLOGY GROUP, PLLC

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Company Details

Name: FOREST HILLS DERMATOLOGY GROUP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Mar 2012 (13 years ago)
Entity Number: 4214673
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 107-40 Queens Boulevard, Suite 204, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 718-380-2330

Phone +1 718-249-2201

Phone +1 212-222-0075

Phone +1 212-388-5338

Phone +1 718-651-8700

Phone +1 718-459-0900

Phone +1 718-658-1700

DOS Process Agent

Name Role Address
FOREST HILLS DERMATOLOGY GROUP, PLLC DOS Process Agent 107-40 Queens Boulevard, Suite 204, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1225309586
Certification Date:
2023-05-31

Authorized Person:

Name:
DR. JEFFREY M WEINBERG
Role:
GENERAL PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
7184590910

Form 5500 Series

Employer Identification Number (EIN):
454098554
Plan Year:
2023
Number Of Participants:
68
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
52
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
59
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
56
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
40
Sponsors Telephone Number:

History

Start date End date Type Value
2012-03-09 2024-03-01 Address 103-11 68TH DRIVE, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240301033107 2024-03-01 BIENNIAL STATEMENT 2024-03-01
230106003598 2023-01-06 BIENNIAL STATEMENT 2022-03-01
140513002046 2014-05-13 BIENNIAL STATEMENT 2014-03-01
120808000231 2012-08-08 CERTIFICATE OF PUBLICATION 2012-08-08
120309000806 2012-03-09 ARTICLES OF ORGANIZATION 2012-03-09

USAspending Awards / Financial Assistance

Date:
2021-02-03
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:
627500.00
Total Face Value Of Loan:
627500.00
Date:
2020-04-29
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:
750000.00
Total Face Value Of Loan:
750000.00

Paycheck Protection Program

Jobs Reported:
75
Initial Approval Amount:
$750,000
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$750,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$758,738.26
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $641,400
Utilities: $4,000
Mortgage Interest: $0
Rent: $100,000
Refinance EIDL: $0
Healthcare: $4600
Debt Interest: $0
Jobs Reported:
70
Initial Approval Amount:
$627,500
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$627,500
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$631,941.31
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $627,498
Utilities: $1

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State