ACTIVE AGING MEDICAL P.C.
NPI 1073910055
Internal Medicine - Geriatric Medicine in New York, NY

Q: What is Active Aging Medical P.C.'s NPI number?

The NPI number for Active Aging Medical P.C. is 1073910055. It was assigned to this organization in the NPPES registry on November 19, 2014.

Q: What is Active Aging Medical P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since November 19, 2014

244 5TH AVE, SUITE 200, NEW YORK, NY 10001(732) 425-3564(888) 999-8689 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Active Aging Medical P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE AGING MEDICAL P.C. (NPI 1073910055) is a healthcare organization registered as a geriatric medicine in New York, New York and active in the NPI registry since November 2014. The organization lists Alexander Kolessa, President, as its authorized official.

NPPES Registry Identity

NPI1073910055

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameACTIVE AGING MEDICAL P.C.

Location Address244 5TH AVE, SUITE 200New York, NY 10001-7604

Mailing Address244 5th Ave, Suite 200New York, NY 10001-7604 · (732) 425-3564 · Fax (888) 999-8689

Phone(732) 425-3564

Fax(888) 999-8689

Organization SubpartNo

Authorized OfficialAlexander KolessaPresident · (732) 425-3564

Enumeration DateNovember 19, 2014

Last NPPES UpdateJanuary 21, 2015

✔ NPI 1073910055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NY · 254294

Definition

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.

244 5TH AVE, New York, NY 10001

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAMARA JEAN GREEN-DACHINGER TAMARA

Social Worker (Clinical)

244 5TH AVE, #8C
NEW YORK, NY 10001

New York County (914) 420-4047

MISS KIMM JIANJIN SUN CNM

Advanced Practice Midwife

244 5TH AVE, SUITE S-206
NEW YORK, NY 10001

New York County (212) 348-4988

SARA VETTER

Marriage & Family Therapist

244 5TH AVE
NEW YORK, NY 10001

New York County (646) 543-6084

MIYUKI KOBAYASHI

Counselor (Mental Health)

244 5TH AVE, SUITE #2001
NEW YORK, NY 10001

New York County (347) 766-0277

DR. MIQUETTA L. TRIMBLE DPM

Podiatrist (Foot Surgery)

244 5TH AVE, SUITE M286
NEW YORK, NY 10001

New York County (212) 726-1348

RIVERSIDE PODIATRY PLLC

Podiatrist (Foot Surgery)

244 5TH AVE, SUITE M286
NEW YORK, NY 10001

New York County (212) 726-1348

CHADD ALAN HERRMANN M.D.

Psychiatry & Neurology (Psychiatry)

244 5TH AVE, 8G
NEW YORK, NY 10001

New York County (212) 696-9747

MRS. HELEN ABAT SAWAL PT

Physical Therapist

244 5TH AVE, S267
NEW YORK, NY 10001

New York County (347) 731-7271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Aging Medical P.C.'s NPI number?

The NPI number for Active Aging Medical P.C. is 1073910055. It was assigned to this organization in the NPPES registry on November 19, 2014.

Where is Active Aging Medical P.C. located?

Active Aging Medical P.C. is located at 244 5th Ave Suite 200, New York, NY 10001. The listed phone number is (732) 425-3564.

What is Active Aging Medical P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Active Aging Medical P.C. was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.