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

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: October 18, 2026.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Aging Medical P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Active Aging Medical P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexander Kolessa, M.D.
Internal Medicine
NPI 1902009459
44 MONROE ST # A24
New York, NY 10002
(732) 425-3564
✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Active Aging Medical P.C. enrolled in Medicare?

Yes. Active Aging Medical P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Aging Medical P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Active Aging Medical P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.