Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Palm Beach
    4. ›
  4. 33401
    5. ›
  5. NEW AGE DERMATOLOGY, INC.

NEW AGE DERMATOLOGY, INC.

Company Details

Entity Name: NEW AGE DERMATOLOGY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Jun 2004 (21 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 14 Feb 2006 (19 years ago)
Document Number: P04000099604
FEI/EIN Number 201334486
Address: 1411 N. FLAGLER DRIVE, 3900, WEST PALM BEACH, FL, 33401
Mail Address: 1411 NORTH FLAGLER DRIVE, 3900, WEST PALM BEACH, FL, 33401
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962586586 2006-10-24 2012-09-27 1411 N FLAGLER DR, SUITE 3900, WEST PALM BEACH, FL, 334013404, US 1411 N FLAGLER DR, SUITE 3900, WEST PALM BEACH, FL, 334013404, US

Contacts
Phone +1 561-805-9399
Fax 5618059866

Authorized person
Name SUPRIYA TOMAR
Role OWNER
Phone 5618059399

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW AGE DERMATOLOGY INC 401(K) PROFIT SHARING PLAN AND TRUST 2023 201334486 2024-05-09 NEW AGE DERMATOLOGY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5618059399
Plan sponsor’s address 1411 N. FLAGLER DR #3900, WEST PALM BEACH, FL, 33401
NEW AGE DERMATOLOGY INC 401(K) PROFIT SHARING PLAN AND TRUST 2022 201334486 2023-06-12 NEW AGE DERMATOLOGY INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5618059399
Plan sponsor’s address 1411 N. FLAGLER DR #3900, WEST PALM BEACH, FL, 33401
NEW AGE DERMATOLOGY INC 401(K) PROFIT SHARING PLAN AND TRUST 2021 201334486 2022-09-02 NEW AGE DERMATOLOGY INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5618059399
Plan sponsor’s address 1411 N. FLAGLER DR #3900, WEST PALM BEACH, FL, 33401
NEW AGE DERMATOLOGY INC 401(K) PROFIT SHARING PLAN AND TRUST 2020 201334486 2021-10-04 NEW AGE DERMATOLOGY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5618059399
Plan sponsor’s address 1411 N. FLAGLER DR #3900, WEST PALM BEACH, FL, 33401
NEW AGE DERMATOLOGY INC 401(K) PROFIT SHARING PLAN & TRUST 2019 201334486 2020-07-31 NEW AGE DERMATOLOGY INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5613078559
Plan sponsor’s address 216 BAHAMA LN, PALM BEACH, FL, 334803308

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing SUPRIYA TOMAR
Valid signature Filed with authorized/valid electronic signature
NEW AGE DERMATOLOGY INC 401 K PROFIT SHARING PLAN TRUST 2016 201334486 2017-11-16 NEW AGE DERMATOLOGY INC 1
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5618059399
Plan sponsor’s address 1411 N FLAGLER DR, SUITE 3900, WEST PALM BEACH, FL, 334013400

Signature of
Role Plan administrator
Date 2017-11-16
Name of individual signing SUPRIYA TOMAR MD
Valid signature Filed with authorized/valid electronic signature
NEW AGE DERMATOLOGY INC 401 K PROFIT SHARING PLAN TRUST 2016 201334486 2017-11-16 NEW AGE DERMATOLOGY INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5618059399
Plan sponsor’s address 1411 N FLAGLER DR, SUITE 3900, WEST PALM BEACH, FL, 334013400

Signature of
Role Plan administrator
Date 2017-11-16
Name of individual signing SUPRIYA TOMAR
Valid signature Filed with authorized/valid electronic signature
NEW AGE DERMATOTLOGY INC 2015 201334486 2017-11-16 NEW AGE DERMATOLOGY INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5618059399
Plan sponsor’s address 1411 N FLAGLER DR STE 3900, WEST PALM BEACH, FL, 334013400

Signature of
Role Plan administrator
Date 2017-11-16
Name of individual signing SUPRIYA TOMAR
Valid signature Filed with authorized/valid electronic signature
NEW AGE DERMATOTLOGY INC 2014 201334486 2017-11-16 NEW AGE DERMATOLOGY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5618059399
Plan sponsor’s address 1411 N FLAGLER DR, SUITE 3900, WEST PALM BEACH, FL, 33401

Signature of
Role Plan administrator
Date 2017-11-16
Name of individual signing SUPRIYA TOMAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TOMAR SUPRIYA M Agent 1411 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL, 33401

Director

Name Role Address
TOMAR SUPRIYA M Director 1411 NORTH FLAGLER DR., WEST PALM BEACH, FL, 33401

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000029877 SUPRIYA DERMATOLOGY & LASER INSTITUTE ACTIVE 2017-03-21 2027-12-31 No data 1411 N FLAGLER DR SUITE 3900, WEST PALM BEACH, FL, 33401
G08246700037 SUPRIYA DERMATOLOGY & LASER INSTITUTE EXPIRED 2008-09-02 2013-12-31 No data 641 UNIVERSITY BLVD STE 109, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2010-04-07 1411 N. FLAGLER DRIVE, 3900, WEST PALM BEACH, FL 33401 No data
REGISTERED AGENT ADDRESS CHANGED 2010-04-07 1411 NORTH FLAGLER DRIVE, 3900, WEST PALM BEACH, FL 33401 No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-22 1411 N. FLAGLER DRIVE, 3900, WEST PALM BEACH, FL 33401 No data
NAME CHANGE AMENDMENT 2006-02-14 NEW AGE DERMATOLOGY, INC. No data
REGISTERED AGENT NAME CHANGED 2005-10-17 TOMAR, SUPRIYA MD No data
REINSTATEMENT 2005-10-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5048987302 2020-04-30 0455 PPP 216 BAHAMA LN, PALM BEACH, FL, 33480-3308
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 90500
Loan Approval Amount (current) 90500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address PALM BEACH, PALM BEACH, FL, 33480-3308
Project Congressional District FL-22
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 91474.42
Forgiveness Paid Date 2021-06-02

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated