Search icon

PORT JEFFERSON MEDICAL WELLNESS PLLC

Company Details

Name: PORT JEFFERSON MEDICAL WELLNESS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 02 Apr 2019 (6 years ago)
Date of dissolution: 22 Jun 2022
Entity Number: 5525894
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 85 SOUTH OCEAN AVENUE, PATCHOGUE, NY, United States, 11772

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 85 SOUTH OCEAN AVENUE, PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1649855099
Certification Date:
2021-03-16

Authorized Person:

Name:
MARIANN MELICHAREK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-07-22 2022-06-23 Address 85 SOUTH OCEAN AVENUE, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)
2021-04-15 2021-07-22 Name MESSI MEDICAL WELLNESS PLLC
2021-04-15 2021-07-22 Address 85 SOUTH OCEAN AVENUE, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)
2019-04-02 2021-04-15 Name PORT JEFFERSON MEDICAL WELLNESS PLLC
2019-04-02 2021-04-15 Address 11 MEDICAL DRIVE, PORT JEFFERSON STA, NY, 11776, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220623001806 2022-06-22 CERTIFICATE OF DISSOLUTION-CANCELLATION 2022-06-22
210722001791 2021-07-22 CERTIFICATE OF AMENDMENT 2021-07-22
210415000334 2021-04-15 CERTIFICATE OF AMENDMENT 2021-04-15
190613000376 2019-06-13 CERTIFICATE OF PUBLICATION 2019-06-13
190412000403 2019-04-12 CERTIFICATE OF AMENDMENT 2019-04-12

Date of last update: 23 Mar 2025

Sources: New York Secretary of State