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ELLISTON PEDIATRICS, PLLC

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Company Details

Name: ELLISTON PEDIATRICS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Jul 2020 (5 years ago)
Entity Number: 5792723
ZIP code: 10038
County: New York
Place of Formation: New York
Address: 82 Nassau St #60518, New York, NY, United States, 10038

DOS Process Agent

Name Role Address
ELLISTON PEDIATRICS, PLLC DOS Process Agent 82 Nassau St #60518, New York, NY, United States, 10038

National Provider Identifier

NPI Number:
1497369615
Certification Date:
2025-01-13

Authorized Person:

Name:
MRS. JAIME HILLIARD
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
9177469649

Form 5500 Series

Employer Identification Number (EIN):
852315908
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2020-07-21 2024-03-22 Address 5110 30TH AVENUE, APT 3M, WOODSIDE, NY, 11377, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240322001899 2024-03-22 BIENNIAL STATEMENT 2024-03-22
210420000408 2021-04-20 CERTIFICATE OF PUBLICATION 2021-04-20
200721000386 2020-07-21 ARTICLES OF ORGANIZATION 2020-07-21

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State