| Entity Name: | NORTHWELL HEALTH MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 Jul 2023 (2 years ago) |
| Document Number: | N23000009090 |
| FEI/EIN Number |
93-3512438
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2000 Marcus Avenue, New Hyde Park, NY, 11042, US |
| Mail Address: | 2000 Marcus Avenue, New Hyde Park, NY, 11042, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205604113 | 2023-12-20 | 2023-12-20 | 1411 N FLAGLER DR STE 7100, WEST PALM BEACH, FL, 334013418, US | 1411 N FLAGLER DR STE 7100, WEST PALM BEACH, FL, 334013418, US | |||||||||||||||
|
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| Phone | +1 561-475-5700 |
| Fax | 8775501796 |
Authorized person
| Name | DR. NICOLE BASILE |
| Role | ADMINISTRATOR |
| Phone | 5614755700 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Kalman Jill | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| D'Angelo John M.D | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Battinelli David M.D | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Dowling Michael J | Chief Executive Officer | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Cusack Michele L | Chief Executive Officer | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Schiff Deborah | Exec | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| C T CORPORATION SYSTEM | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000010011 | NORTHWELL HEALTH PHYSICIAN PARTNERS AT WEST PALM BEACH | ACTIVE | 2025-01-24 | 2030-12-31 | - | 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11762 |
| G25000010012 | NHPP AT WEST PALM BEACH | ACTIVE | 2025-01-24 | 2030-12-31 | - | 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 2000 Marcus Avenue, New Hyde Park, NY 11042 | - |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 2000 Marcus Avenue, New Hyde Park, NY 11042 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Domestic Non-Profit | 2023-07-28 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
