ACTIVE LIFE HEALTH OF NY PC
NPI 1710445846
Durable Medical Equipment & Medical Supplies in Smithtown, NY

Active since March 07, 2019
300 E MAIN ST STE 1, SMITHTOWN, NY 11787(631) 656-8796(631) 333-7322 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2019, Sep 3, 2019, Mar 7, 2019 (3 updates tracked since 2019).

About Active Life Health Of Ny Pc NPPES

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

ACTIVE LIFE HEALTH OF NY PC (NPI 1710445846) is a healthcare organization registered as a durable medical equipment & medical supplies in Smithtown, New York and active in the NPI registry since March 2019. The organization lists John J Rush, Chairman & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1710445846
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameACTIVE LIFE HEALTH OF NY PC
Location Address300 E MAIN ST STE 1Smithtown, NY 11787-2900
Mailing AddressPo Box 772199Detroit, MI 48277-2223 · (646) 586-9333 · Fax (646) 571-0807
Fax(631) 333-7322
Organization SubpartNo
Authorized OfficialJohn J RushChairman & Chief Executive Officer · (301) 928-1697
Enumeration DateMarch 7, 2019
Last NPPES UpdateDecember 4, 20193 updates tracked since enumeration
NPI 1710445846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
300 E MAIN ST STE 1, Smithtown, NY 11787

Other Providers at the Same Location NPPES

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

General Practice
300 E MAIN ST STE 1
SMITHTOWN, NY 11787

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 Life Health Of Ny PC's NPI number?

The NPI number for Active Life Health Of Ny PC is 1710445846. It was assigned to this organization in the NPPES registry on March 7, 2019.

Where is Active Life Health Of Ny PC located?

Active Life Health Of Ny PC is located at 300 E Main St Ste 1, Smithtown, NY 11787. The listed phone number is (631) 656-8796.

What is Active Life Health Of Ny PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Active Life Health Of Ny PC was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.