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QUEENS NEPHROLOGY PRACTICE, P.C.

QUEENS NEPHROLOGY PRACTICE, P.C.

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Company Details

Name:	QUEENS NEPHROLOGY PRACTICE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	18 May 2012 (13 years ago)
Entity Number:	4247366
ZIP code:	11366
County:	Queens
Place of Formation:	New York
Address:	160 40 78TH RD 2ND FLR, 2ND FLOOR, FRESH MEADOWS, NY, United States, 11366
Principal Address:	160-40 78TH ROAD, 2ND FLOOR, FRESH MEADOWS, NY, United States, 11366

Contact Details

Phone +1 347-475-0911

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
QUEENS NEPHROLOGY PRACTICE, P.C.	DOS Process Agent	160 40 78TH RD 2ND FLR, 2ND FLOOR, FRESH MEADOWS, NY, United States, 11366

Chief Executive Officer

Name	Role	Address
NARAYAN DAS AGRAWAL	Chief Executive Officer	160-40 78TH ROAD, 2ND FLOOR, FRESH MEADOWS, NY, United States, 11366

National Provider Identifier

NPI Number:

1093070500

Link:

View on NPI website

Authorized Person:

Name:

DR. NARAYAN D AGRAWAL

Role:

PRESIDENT

Phone:

3474750911

Taxonomy:

Selected Taxonomy:

207RN0300X - Nephrology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 347-475-0911

Fax:

7183803441

Form 5500 Series

Employer Identification Number (EIN):

455309736

Plan Year:

2023

Number Of Participants:

10

Sponsors Telephone Number:

9175840823

File:

Plan Year:

2023

Number Of Participants:

8

Sponsors Telephone Number:

9175840823

File:

Plan Year:

2022

Number Of Participants:

7

Sponsors Telephone Number:

9175840823

File:

Plan Year:

2022

Number Of Participants:

10

Sponsors Telephone Number:

9175840823

File:

Plan Year:

2021

Number Of Participants:

2

Sponsors Telephone Number:

9175840823

File:

History

Start date	End date	Type	Value
2024-09-27	2024-09-27	Address	160-40 78TH ROAD, 2ND FLOOR, FRESH MEADOWS, NY, 11366, USA (Type of address: Chief Executive Officer)
2018-05-04	2024-09-27	Address	160 40 78TH RD 2ND FLR, 2ND FLOOR, FRESH MEADOWS, NY, 11366, USA (Type of address: Service of Process)
2014-06-06	2018-05-04	Address	160-40 78TH ROAD, 2ND FLOOR, FRESH MEADOWS, NY, 11366, USA (Type of address: Service of Process)
2014-06-06	2024-09-27	Address	160-40 78TH ROAD, 2ND FLOOR, FRESH MEADOWS, NY, 11366, USA (Type of address: Chief Executive Officer)
2012-05-18	2014-06-06	Address	176-60 UNION TURNPIKE, SUITE 320, FLUSHING, NY, 11366, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
240927000284	2024-09-27	BIENNIAL STATEMENT	2024-09-27
200504061605	2020-05-04	BIENNIAL STATEMENT	2020-05-01
180504007370	2018-05-04	BIENNIAL STATEMENT	2018-05-01
160517006597	2016-05-17	BIENNIAL STATEMENT	2016-05-01
140606006159	2014-06-06	BIENNIAL STATEMENT	2014-05-01

USAspending Awards / Financial Assistance

Date:

2020-05-03

Link:

View on USAspending

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:

196608.00

Total Face Value Of Loan:

196608.00

Paycheck Protection Program

Jobs Reported:

13

Initial Approval Amount:

$196,608

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$196,608

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$197,836.13

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $196,608

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State