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JANSEN MEDICAL SERVICES, P.C.

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Company Details

Name: JANSEN MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Jan 2020 (5 years ago)
Entity Number: 5682907
ZIP code: 10005
County: Ulster
Place of Formation: New York
Address: 28 LIBERTY STREET, NEW YORK, NY, United States, 10005
Principal Address: 200 CORPORATE BLVD, LAFAYETTE, LA, United States, 70508

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C T CORPORATION SYSTEM DOS Process Agent 28 LIBERTY STREET, NEW YORK, NY, United States, 10005

Chief Executive Officer

Name Role Address
DAVID SCHILLINGER, MD Chief Executive Officer 200 CORPORATE BLVD, LAFAYETTE, LA, United States, 70508

National Provider Identifier

NPI Number:
1366035982
Certification Date:
2021-02-15

Authorized Person:

Name:
DERIK K KING
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-01-11 2024-01-11 Address 200 CORPORATE BLVD, LAFAYETTE, LA, 70508, USA (Type of address: Chief Executive Officer)
2020-01-06 2024-01-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2020-01-06 2024-01-11 Address 28 LIBERTY STREET, NEW YORK, NY, 10005, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240111004050 2024-01-11 BIENNIAL STATEMENT 2024-01-11
220104002382 2022-01-04 BIENNIAL STATEMENT 2022-01-04
200106000633 2020-01-06 CERTIFICATE OF INCORPORATION 2020-01-06

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State