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STATEN ISLAND ORTHOPEDICS & SPORTS MEDICINE, P. C.

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Company Details

Name: STATEN ISLAND ORTHOPEDICS & SPORTS MEDICINE, P. C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Dec 1982 (43 years ago)
Entity Number: 806887
ZIP code: 10306
County: Richmond
Place of Formation: New York
Principal Address: 2052 RICHMOND RD, STATEN ISLAND, NY, United States, 10306
Address: 2052 RICMOND RD, STATEN ISLAND, NY, United States, 10306

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
STATEN ISLAND ORTHOPEDICS & SPORTS MEDICINE, P. C. DOS Process Agent 2052 RICMOND RD, STATEN ISLAND, NY, United States, 10306

Chief Executive Officer

Name Role Address
MARK F SHERMAN Chief Executive Officer 2052 RICHMOND RD, STATEN ISLAND, NY, United States, 10306

National Provider Identifier

NPI Number:
1679698310

Authorized Person:

Name:
MR. MARK F SHERMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7183517672

Form 5500 Series

Employer Identification Number (EIN):
133140219
Plan Year:
2021
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
32
Sponsors Telephone Number:

History

Start date End date Type Value
2011-01-06 2020-12-01 Address 2052 RICMOND RD, STATEN ISLAND, NY, 10306, USA (Type of address: Service of Process)
1997-02-26 2011-01-06 Address 1551 RICHMOND RD, STATEN ISLAND, NY, 10304, USA (Type of address: Chief Executive Officer)
1997-02-26 2011-01-06 Address 1551 RICHMOND RD, STATEN ISLAND, NY, 10304, USA (Type of address: Service of Process)
1997-02-26 2011-01-06 Address 1551 RICHMOND RD, STATEN ISLAND, NY, 10304, USA (Type of address: Principal Executive Office)
1992-12-29 1997-02-26 Address 800 MANOR ROAD, STATEN ISLAND, NY, 10314, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
201201062274 2020-12-01 BIENNIAL STATEMENT 2020-12-01
190122060733 2019-01-22 BIENNIAL STATEMENT 2018-12-01
180103006491 2018-01-03 BIENNIAL STATEMENT 2016-12-01
130104002236 2013-01-04 BIENNIAL STATEMENT 2012-12-01
110106002859 2011-01-06 BIENNIAL STATEMENT 2010-12-01

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State