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NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY, P.C.

Company Details

Name: NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Jul 1978 (47 years ago)
Entity Number: 500828
ZIP code: 12209
County: Albany
Address: 62 HACKETT BOULEVARD, ALBANY, NY, United States, 12209

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
CAPITAL DISTRICT RENAL PHYSICIANS, P.C. DOS Process Agent 62 HACKETT BOULEVARD, ALBANY, NY, United States, 12209

Chief Executive Officer

Name Role Address
VINCENT CARSILLO, DO Chief Executive Officer 62 HACKETT BLVD, ALBANY, NY, United States, 12209

National Provider Identifier

NPI Number:
1558338806
Certification Date:
2023-04-26

Authorized Person:

Name:
MRS. MEGAN GUINN
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
5184344659

Form 5500 Series

Employer Identification Number (EIN):
141601203
Plan Year:
2023
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
47
Sponsors Telephone Number:

History

Start date End date Type Value
2022-03-10 2023-09-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-07-16 2022-03-30 Address 62 HACKETT BLVD, ALBANY, NY, 12209, 1718, USA (Type of address: Chief Executive Officer)
2021-07-16 2022-03-30 Address 62 HACKETT BOULEVARD, ALBANY, NY, 12209, 1718, USA (Type of address: Service of Process)
2021-07-02 2022-03-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2020-07-02 2021-07-16 Address 62 HACKETT BOULEVARD, ALBANY, NY, 12209, 1718, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220804000580 2022-08-04 BIENNIAL STATEMENT 2022-07-01
220330003156 2022-03-10 CERTIFICATE OF AMENDMENT 2022-03-10
210716000805 2021-07-02 CERTIFICATE OF MERGER 2021-07-02
200702060878 2020-07-02 BIENNIAL STATEMENT 2020-07-01
181010006258 2018-10-10 BIENNIAL STATEMENT 2018-07-01

Date of last update: 18 Mar 2025

Sources: New York Secretary of State