| Entity Name: | Optum Medical Care of New Jersey, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 01 Oct 2020 |
| Business ALEI: | 1361038 |
| Annual report due: | 01 Oct 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 714 TENTH STREET, SECAUCUS, NJ, 07094, United States |
| Mailing address: | 714 TENTH STREET, SECAUCUS, NJ, United States, 07094 |
| Place of Formation: | NEW JERSEY |
| E-Mail: | cls-ctarmsevidence@wolterskluwer.com |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| John George Liethen | Officer | 714 TENTH STREET, SECAUCUS, NJ, 07094, United States | 1 Optum Circle, EDEN PRAIRIE, MN, 55344, United States |
| Peter Marshall Gill | Officer | 714 TENTH STREET, SECAUCUS, NJ, 07094, United States | 4 RESEARCH DRIVE, SHELTON, CT, 06484, United States |
| Gaurang Ravaji Brahmbhatt, M.D. | Officer | 714 TENTH STREET, SECAUCUS, NJ, 07094, United States | 714 TENTH STREET, SECAUCUS, NJ, 07094, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Gaurang Ravaji Brahmbhatt, M.D. | Director | 714 TENTH STREET, SECAUCUS, NJ, 07094, United States | 714 TENTH STREET, SECAUCUS, NJ, 07094, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | RIVERSIDE PEDIATRIC GROUP, P.C. | Optum Medical Care of New Jersey, P.C. | 2022-12-08 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012118150 | 2024-09-02 | No data | Annual Report | Annual Report | No data |
| BF-0011365617 | 2023-09-01 | No data | Annual Report | Annual Report | No data |
| BF-0011518761 | 2022-12-08 | 2022-12-08 | Amendment | Amended Certificate of Authority | No data |
| BF-0010235646 | 2022-10-04 | No data | Annual Report | Annual Report | 2022 |
| BF-0009819776 | 2021-10-05 | No data | Annual Report | Annual Report | No data |
| 0006994515 | 2020-10-01 | 2020-10-01 | Business Registration | Certificate of Authority | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
