Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Aging Medical PC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1073910055

Active Aging Medical PC is a Geriatric Medicine (Internal Medicine) Physician in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

244 5th Ave Ste 200
New York, NY 10001-7604
Phone: (732) 425-3564
Fax: (888) 999-8689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 254294 (NY)

Record details

NPI number1073910055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Kolessa — President · (732) 425-3564
NPI enumeratedNovember 19, 2014
Last updated in NPPESJanuary 21, 2015
Mailing address244 5th Ave, Suite 200, New York, NY 10001-7604

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