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NEW PRESTON DERMATOLOGY, PLLC

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Company Details

Entity Name: NEW PRESTON DERMATOLOGY, PLLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 14 Apr 2021
Business ALEI: 1387611
Annual report due: 31 Mar 2026
Business address: 18 EAST SHORE ROAD, NEW PRESTON, CT, 06777, United States
Mailing address: 18 EAST SHORE ROAD, NEW PRESTON, CT, United States, 06777
ZIP code: 06777
County: Litchfield
Place of Formation: CONNECTICUT
E-Mail: accounting@newprestondermatology.com

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

Officer

Name Role Business address Residence address
ANDREAS BOKER, M.D. Officer 18 EAST SHORE ROAD, NEW PRESTON, CT, 06777, United States 41 JENNINGS ROAD, SOUTH KENT, CT, 06785, United States

Agent

Name Role
TREVENEN & COPLOFF, LLC Agent

National Provider Identifier

NPI Number:
1407430655
Certification Date:
2021-06-24

Authorized Person:

Name:
ANDREAS BOKER
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
8603931079

Form 5500 Series

Employer Identification Number (EIN):
863318493
Plan Year:
2024
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
1
Sponsors Telephone Number:

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CLAB.0001067 Clinical Laboratory ACTIVE CURRENT 2022-03-10 2024-04-01 2026-03-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0013156610 2025-03-18 - Annual Report Annual Report -
BF-0012342656 2024-02-06 - Annual Report Annual Report -
BF-0011115551 2023-02-16 - Annual Report Annual Report -
BF-0010200637 2022-03-24 - Annual Report Annual Report 2022
BF-0010113515 2021-09-09 2021-09-09 Amendment Certificate of Amendment -

Debts and Liens

Subsequent Filing No:
0005016569
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2021-09-21
Lapse Date:
2026-09-21
Subsequent Filing No:
0005015379
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2021-09-15
Lapse Date:
2026-09-15
Subsequent Filing No:
0003449855
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2021-06-01
Lapse Date:
2026-06-01

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Sources: Company Profile on Connecticut's Official State Website

* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information