ACTIVE AGING MEDICAL P.C. NPI 1073910055

NPI Information

  • NPI: 1073910055
  • Provider Name: ACTIVE AGING MEDICAL P.C.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 244 5TH AVE
    SUITE 200
    NEW YORK, NY
    ZIP 10001
  • Phone: (732) 425-3564

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NPI Details

ACTIVE AGING MEDICAL P.C. is a geriatric medicine internal medicine in New York, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. ACTIVE AGING MEDICAL P.C. NPI is 1073910055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

244 5TH AVE
SUITE 200
NEW YORK, NY
ZIP 10001-604
Phone: (732) 425-3564
Fax: (888) 999-8689

The provider's authorized official is Alexander Kolessa .
The authorized official title is President and has the following contact phone number (732) 425-3564.

The enumeration date for this NPI number is 11/19/2014 and was last updated on 1/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine254294NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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