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BROOKHAVEN NEPHROLOGY ASSOCIATES, P.C.

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Company Details

Name: BROOKHAVEN NEPHROLOGY ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Apr 1980 (45 years ago)
Entity Number: 620736
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 260 PATCHOGUE-YAPHANK RD, SUITE F, E PATCHOGUE, NY, United States, 11772
Principal Address: 260 PATCHOGUE-YAPHANK ROAD, SUITE F, EAST PATCHOGUE, NY, United States, 11772

Contact Details

Phone +1 631-654-7100

Phone +1 631-687-2828

Phone +1 631-654-8755

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MOHAMMED S. RAHMAN DOS Process Agent 260 PATCHOGUE-YAPHANK RD, SUITE F, E PATCHOGUE, NY, United States, 11772

Chief Executive Officer

Name Role Address
MOHAMMED S. RAHMAN Chief Executive Officer 260 PATCHOGUE-YAPHANK ROAD, SUITE F, EAST PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1841345022
Certification Date:
2023-01-25

Authorized Person:

Name:
MOHAMMED RAHMAN
Role:
MD
Phone:

Taxonomy:

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

Contacts:

Fax:
6316548709

Form 5500 Series

Employer Identification Number (EIN):
112523971
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:

History

Start date End date Type Value
2024-01-30 2024-01-30 Address 260 PATCHOGUE-YAPHANK ROAD, SUITE F, EAST PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer)
2024-01-30 2024-01-30 Address 260 PATCHOGUE-YAPHANK ROAD, SUITE F, EAST PATCHOGUE, NY, 11772, 4886, USA (Type of address: Chief Executive Officer)
2024-01-30 2024-11-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2020-07-08 2024-01-30 Address 260 PATCHOGUE-YAPHANK ROAD, SUITE F, EAST PATCHOGUE, NY, 11772, 4886, USA (Type of address: Chief Executive Officer)
2020-07-08 2024-01-30 Address 260 PATCHOGUE-YAPHANK RD, SUITE F, E PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240130016368 2024-01-30 BIENNIAL STATEMENT 2024-01-30
200708060095 2020-07-08 BIENNIAL STATEMENT 2020-04-01
140623002188 2014-06-23 BIENNIAL STATEMENT 2014-04-01
120530002359 2012-05-30 BIENNIAL STATEMENT 2012-04-01
100423002975 2010-04-23 BIENNIAL STATEMENT 2010-04-01

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State