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BP MEDICAL, P.C.

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Company Details

Name: BP MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Mar 2012 (13 years ago)
Entity Number: 4221664
ZIP code: 10013
County: Kings
Place of Formation: New York
Address: 128 Mott Street, 202, New York, NY, United States, 10013

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
TIMOTHY JOHNSON, MD Chief Executive Officer 128 MOTT STREET, SUITE 202, NEW YORK, NY, United States, 10013

DOS Process Agent

Name Role Address
TIMOTHY JOHNSON DOS Process Agent 128 Mott Street, 202, New York, NY, United States, 10013

National Provider Identifier

NPI Number:
1538435920

Authorized Person:

Name:
MS. JESSICA SHORE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-03-02 2024-03-02 Address 128 MOTT STREET, SUITE 202, NEW YORK, NY, 10013, USA (Type of address: Chief Executive Officer)
2024-02-07 2024-03-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2014-03-11 2024-03-02 Address 128 MOTT STREET, SUITE 202, NEW YORK, NY, 10013, USA (Type of address: Chief Executive Officer)
2012-03-26 2024-02-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2012-03-26 2024-03-02 Address 1903 UTICA AVENUE, BROOKLYN, NY, 11234, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240302001049 2024-03-02 BIENNIAL STATEMENT 2024-03-02
220731000409 2022-07-31 BIENNIAL STATEMENT 2022-03-01
140311007022 2014-03-11 BIENNIAL STATEMENT 2014-03-01
120326000188 2012-03-26 CERTIFICATE OF INCORPORATION 2012-03-26

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State