Active Aging Medical P.c.
Internal Medicine, Geriatric Medicine in New York, New York
1073910055- Practice location
- 244 5TH Ave, Suite 200, New York, NY 10001-7604
- Phone
- 732-425-3564
- Fax
- 888-999-8689
- Last updated
- January 21, 2015
Active Aging Medical P.c. is a healthcare organization based in New York, NY. The NPI number for Active Aging Medical P.c. is 1073910055 and holds license No. 254294 (NY). The current practice location address is 244 5TH Ave, Suite 200, New York, NY 10001-7604 and the office can be reached by phone at 732-425-3564 and by fax at 888-999-8689. The NPI was assigned on November 19, 2014 and the record was last updated in NPPES on January 21, 2015.
●Provider Profile Details
- NPI Number
- 1073910055
- Provider Name
- Active Aging Medical P.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Internal Medicine, Geriatric Medicine · 207RG0300X
- Organization Subpart
- No
- Authorized Official
- Alexander Kolessa, MD · President · 732-425-3564
- Enumeration Date
- November 19, 2014
- Last Update Date
- January 21, 2015
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 244 5TH Ave
Suite 200
New York, NY 10001-7604 - City
- New York
- State
- New York
- ZIP
- 10001-7604
- Country
- US
- Phone Number
- 732-425-3564
- Fax Number
- 888-999-8689
✉Business Mailing Address
- Address
- 244 5TH Ave
Suite 200
New York, NY 10001-7604 - City
- New York
- State
- NY
- ZIP
- 10001-7604
- Phone Number
- 732-425-3564
- Fax Number
- 888-999-8689
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine, Geriatric Medicine 193400000X - Single Specialty Group | 207RG0300X | Yes | 254294 | NY |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near New York, NY
View all providers in New York →?Frequently Asked Questions
What is the NPI number of Active Aging Medical P.c.?
The NPI number of Active Aging Medical P.c. is 1073910055. It was assigned on November 19, 2014 and is currently active in the NPPES registry.
What is the specialty of Active Aging Medical P.c.?
Active Aging Medical P.c. is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X) and holds license No. 254294 (NY).
Where does Active Aging Medical P.c. practice?
The practice location is 244 5TH Ave, Suite 200, New York, NY 10001-7604. The office can be reached at 732-425-3564 (phone) or 888-999-8689 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073910055 directly on the NPPES registry website at npiregistry.cms.hhs.gov.