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ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

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Company Details

Name: ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Oct 2012 (13 years ago)
Entity Number: 4306068
ZIP code: 12208
County: Albany
Principal Address: 315 S. MANNING BLVD., ALBANY, NY, United States, 12208
Address: ATTN: PRESIDENT, 315 S. MANNING BLVD, ALBANY, NY, United States, 12208

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. DOS Process Agent ATTN: PRESIDENT, 315 S. MANNING BLVD, ALBANY, NY, United States, 12208

Chief Executive Officer

Name Role Address
ERIK BAIER, CHIEF EXECUTIVE OFFICER Chief Executive Officer 315 S. MANNING BLVD., ALBANY, NY, United States, 12208

Unique Entity ID

Unique Entity ID:
FUDECJ3NJHL8
UEI Expiration Date:
2026-05-20

Business Information

Doing Business As:
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Activation Date:
2025-05-22
Initial Registration Date:
2023-09-19

National Provider Identifier

NPI Number:
1871483172
Certification Date:
2025-07-08

Authorized Person:

Name:
GARY TERK
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207VX0201X - Gynecologic Oncology Physician
Is Primary:
No
Selected Taxonomy:
2086X0206X - Surgical Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
5186948872

History

Start date End date Type Value
2024-12-30 2024-12-30 Address 315 S. MANNING BLVD., ALBANY, NY, 12208, USA (Type of address: Chief Executive Officer)
2024-12-30 2025-07-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-10-01 2024-12-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-09-20 2024-10-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-07-02 2024-12-30 Address 315 S. MANNING BLVD., ALBANY, NY, 12208, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
241230019899 2024-12-30 BIENNIAL STATEMENT 2024-12-30
240702003824 2024-07-01 CERTIFICATE OF MERGER 2024-07-01
170627006043 2017-06-27 BIENNIAL STATEMENT 2016-10-01
170523000007 2017-05-23 ERRONEOUS ENTRY 2017-05-23
DP-2224507 2016-10-26 DISSOLUTION BY PROCLAMATION 2016-10-26

Tax Exempt

Employer Identification Number (EIN) :
46-1177336
In Care Of Name:
% DONALD MARTIN
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2015-03
National Taxonomy Of Exempt Entities:
Health Care: Group Health Practice (Health Maintenance Organizations)
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State