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ACTIVE AGING MEDICAL, P.C.

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Company Details

Name: ACTIVE AGING MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Apr 2012 (13 years ago)
Entity Number: 4231362
ZIP code: 07450
County: New York
Place of Formation: New York
Address: 465 HILLCREST RD, RIDGEWOOD, NJ, United States, 07450
Principal Address: 44 MONROE ST, #A24, NEW YORK, NY, United States, 10002

Contact Details

Phone +1 888-999-8689

Phone +1 732-425-3564

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

Chief Executive Officer

Name Role Address
ALEXANDER KOLESSA,MD Chief Executive Officer 44 MONROE ST, #A24, NEW YORK, NY, United States, 10002

DOS Process Agent

Name Role Address
ALEXANDER KOLESSA DOS Process Agent 465 HILLCREST RD, RIDGEWOOD, NJ, United States, 07450

National Provider Identifier

NPI Number:
1073910055

Authorized Person:

Name:
ALEXANDER KOLESSA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8889998689

History

Start date End date Type Value
2014-04-08 2018-04-11 Address 244 5TH AVE, STE# 200, NEW YORK, NY, 10001, USA (Type of address: Chief Executive Officer)
2014-04-08 2018-04-11 Address 244 5TH AVE, STE# 200, NEW YORK, NY, 10001, USA (Type of address: Principal Executive Office)
2012-04-16 2018-04-11 Address 244 5TH AVE #200, NEW YORK, NY, 10001, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180411006198 2018-04-11 BIENNIAL STATEMENT 2018-04-01
140408006642 2014-04-08 BIENNIAL STATEMENT 2014-04-01
120416000568 2012-04-16 CERTIFICATE OF INCORPORATION 2012-04-16

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$22,582
Date Approved:
2020-05-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$22,582
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$22,833.54
Servicing Lender:
WebBank
Use of Proceeds:
Payroll: $22,582
Jobs Reported:
1
Initial Approval Amount:
$20,833
Date Approved:
2021-04-04
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,833
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $20,831

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State