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  5. PECONIC CARDIOLOGY, P.C.

PECONIC CARDIOLOGY, P.C.

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Company Details

Name: PECONIC CARDIOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jun 2016 (9 years ago)
Entity Number: 4971546
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: GENERAL COUNSEL, 2000 MARCUS AVENUE, New Hyde Park, NY, United States, 11042
Principal Address: 2000 Marcus Avenue, New Hyde Park, NY, United States, 11042

Contact Details

Phone +1 631-727-7773

Phone +1 631-298-2030

Phone +1 631-702-1000

Phone +1 631-702-8900

Phone +1 631-968-3293

Phone +1 516-562-4101

Phone +1 631-929-4808

Phone +1 718-470-7330

Phone +1 631-351-2000

Phone +1 631-726-8200

Phone +1 631-548-6000

Phone +1 516-321-7400

Phone +1 631-444-1077

Phone +1 516-240-8700

Shares Details

Shares issued 100

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
OFFICE OF LEGAL AFFAIRS DOS Process Agent GENERAL COUNSEL, 2000 MARCUS AVENUE, New Hyde Park, NY, United States, 11042

Chief Executive Officer

Name Role Address
MICHAEL J. DOWLING Chief Executive Officer 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

National Provider Identifier

NPI Number:
1932688629
Certification Date:
2022-07-08
Link:
View on NPI website

Authorized Person:

Name:
MRS. MICHELE LEE CUSACK
Role:
SENIOR VICE PRESIDENT & CFO
Phone:
5163216058

Taxonomy:

Selected Taxonomy:
207UN0901X - Nuclear Cardiology Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Phone:
+1 631-727-7773
Fax:
6317277832

History

Start date End date Type Value
2025-04-22 2025-04-22 Address 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Chief Executive Officer)
2016-06-30 2025-04-22 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 1
2016-06-30 2025-04-22 Address OFFICE OF GENERAL COUNSEL, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250422004406 2025-04-22 BIENNIAL STATEMENT 2025-04-22
211006001987 2021-10-06 BIENNIAL STATEMENT 2021-10-06
160630000743 2016-06-30 CERTIFICATE OF INCORPORATION 2016-06-30

Tax Exempt

Employer Identification Number (EIN) :
81-3149464
In Care Of Name:
% NORTHWELL HEALTH INC
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:
2017-11
National Taxonomy Of Exempt Entities:
Health Care: Group Health Practice (Health Maintenance Organizations)
Deductibility:
Type of organization and use of contribution: A Type I, Type II, or functionally integrated Type III supporting organization. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

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Related by officers

OFFICE OF LEGAL AFFAIRS

PARK LENOX PEDIATRIC, P.C. NORTH SHORE HEALTH ENTERPRISES, INC. 980 PROSPECT, LLC ROYAL CHARTER PROPERTIES-FIRST AVENUE, INC.

MICHAEL J. DOWLING

NORTH SHORE-LIJ MEDICAL, P.C. STATEN ISLAND NEONATOLOGY, P.C. CARNEGIE CARDIOVASCULAR, P.C. COMMUNITY DRIVE SURGERY, P.C. LENOX HILL INTERVENTIONAL CARDIAC & VASCULAR SERVICES, P.C. BLACK HALL ORAL MAXILLOFACIAL SURGERY, P.C. MEDICAL SERVICES OF RIVERHEAD, P.C. LAKEVILLE SURGERY, P.C. TRUE NORTH WORKFORCE SAFETY CONSULTING, INC. TRUE NORTH MEDICAL OF SOUTH NASSAU, P.C.

Related by address

2000 Marcus Avenue, New Hyde Park, NY, United States, 11042

BLACK HALL ORAL MAXILLOFACIAL SURGERY, P.C. BRIGHTWATERS GYNECOLOGY, P.C. LAKEVILLE SURGERY, P.C. MARCUS AVENUE MEDICAL, P.C. MARCUS AVENUE OB/GYN, P.C. MEDICAL CARE OF QUEENS, P.C. MEDICAL SERVICES OF BELLMORE, P.C. MEDICAL SERVICES OF LENOX HILL, P.C. MEDICAL SERVICES OF MANHASSET, P.C. MEDICAL SERVICES OF NASSAU, P.C.

Date of last update: 24 Mar 2025

Sources: New York Secretary of State

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