Search icon

SOUTH NASSAU PHYSICIAN GROUP, P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: SOUTH NASSAU PHYSICIAN GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Aug 2015 (10 years ago)
Entity Number: 4810849
ZIP code: 11572
County: Nassau
Place of Formation: New York
Address: ONE HEALTHY WAY, ATTN: PHYSICIAN SERVICES, OCEANSIDE, NY, United States, 11572

Contact Details

Phone +1 516-632-3900

Phone +1 516-870-1010

Shares Details

Shares issued 10

Share Par Value 1

Type PAR VALUE

Chief Executive Officer

Name Role Address
ADHI SHARMA, MD Chief Executive Officer ONE HEALTHY WAY, OCEANSIDE, NY, United States, 11572

DOS Process Agent

Name Role Address
SOUTH NASSAU PHYSICIAN GROUP, P.C. DOS Process Agent ONE HEALTHY WAY, ATTN: PHYSICIAN SERVICES, OCEANSIDE, NY, United States, 11572

National Provider Identifier

NPI Number:
1922460542

Authorized Person:

Name:
MARK BOGEN
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-09-18 2025-07-10 Shares Share type: PAR VALUE, Number of shares: 10, Par value: 1
2023-09-18 2023-09-18 Address ONE HEALTHY WAY, OCEANSIDE, NY, 11572, USA (Type of address: Chief Executive Officer)
2023-06-06 2023-09-18 Address ONE HEALTHY WAY, ATTN: PHYSICIAN SERVICES, OCEANSIDE, NY, 11572, USA (Type of address: Service of Process)
2023-06-06 2023-06-06 Address ONE HEALTHY WAY, OCEANSIDE, NY, 11572, USA (Type of address: Chief Executive Officer)
2023-06-06 2023-09-18 Address ONE HEALTHY WAY, OCEANSIDE, NY, 11572, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
230918001087 2023-09-18 BIENNIAL STATEMENT 2023-08-01
230606001854 2023-06-02 CERTIFICATE OF AMENDMENT 2023-06-02
210824000636 2021-08-24 BIENNIAL STATEMENT 2021-08-24
200227060353 2020-02-27 BIENNIAL STATEMENT 2019-08-01
180710006277 2018-07-10 BIENNIAL STATEMENT 2017-08-01

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 25 Mar 2025

Sources: New York Secretary of State