Search icon

PEDIATRIC ASSOCIATES OF WATERTOWN, P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: PEDIATRIC ASSOCIATES OF WATERTOWN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Jul 1981 (44 years ago)
Entity Number: 711875
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 20011 SUMMIT VIEW BLVD, WATERTOWN, NY, United States, 13601

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
STEPHANIE A. OLIVIA, M.D. DOS Process Agent 20011 SUMMIT VIEW BLVD, WATERTOWN, NY, United States, 13601

Chief Executive Officer

Name Role Address
STEPHANIE A. OLIVIA, M.D. Chief Executive Officer 20011 SUMMIT VIEW BLVD, WATERTOWN, NY, United States, 13601

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
PCWKY2A42CL6
CAGE Code:
9B9L4
UEI Expiration Date:
2023-06-08

Business Information

Activation Date:
2022-06-22
Initial Registration Date:
2022-06-08

National Provider Identifier

NPI Number:
1497855670

Authorized Person:

Name:
DR. MARIO F. VICTORIA
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
3157888319

History

Start date End date Type Value
2023-07-05 2023-07-05 Address 20011 SUMMIT DRIVE, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
2023-07-05 2023-07-05 Address 18969 US RTE 11, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
2023-07-05 2023-07-05 Address 20011 SUMMIT VIEW BLVD, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
2015-06-02 2023-07-05 Address 18969 US RTE 11, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
2015-06-02 2023-07-05 Address 18969 US ROUTE 11, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230705000756 2023-07-05 BIENNIAL STATEMENT 2023-07-01
211221001755 2021-12-21 BIENNIAL STATEMENT 2021-12-21
150602002041 2015-06-02 BIENNIAL STATEMENT 2013-07-01
A782689-4 1981-07-20 CERTIFICATE OF INCORPORATION 1981-07-20

USAspending Awards / Financial Assistance

Date:
2021-03-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
218059.15
Total Face Value Of Loan:
218059.15

Paycheck Protection Program

Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
218059.15
Current Approval Amount:
218059.15
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
220024.67

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 17 Mar 2025

Sources: New York Secretary of State