ACTIVE AGING MEDICAL P.C. (NPI# 1073910055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073910055 |
| Entity Type | Organization |
| Organization Name | ACTIVE AGING MEDICAL P.C. |
| Practice Address |
244 5th Ave Suite 200 New York NY 10001-7604 |
| Practice Telephone | 7324253564 |
| Practice Fax Number | 8889998689 |
| Mailing Telephone | 7324253564 |
| Mailing Fax Number | 8889998689 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | ALEXANDER KOLESSA (PRESIDENT) |
| Authorized Official Telephone | 7324253564 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
254294 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
244 5TH AVE SUITE 200 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10001-7604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528019700 | Jidex Global Corp. | Internal Medicine | 244 5th Ave, Suite C-234, New York, NY 10001-7604 | 2006-05-13 |
| 1942783303 | David Gottlieb | Psychologist | 244 5th Ave, New York, NY 10001-7604 | 2018-09-12 |
| 1710492038 | Eliza Victoria Pertz | Social Worker | 244 5th Ave, Suite 8d, New York, NY 10001 | 2017-12-08 |
| 1972040731 | Mk Care Inc. | Community/Behavioral Health | 244 5th Ave, #2001, New York, NY 10001-7604 | 2017-01-31 |
| 1861809444 | Jennifer Jenna Hollenstein | Dietitian, Registered | 244 5th Ave, Suite 9d, New York, NY 10001-7604 | 2014-07-16 |
| 1134532211 | Riverside Podiatry Pllc | Podiatrist | 244 5th Ave, Suite M286, New York, NY 10001-7604 | 2014-06-06 |
| 1881014264 | Sedina Levin | Case Manager/Care Coordinator | 244 5th Ave, Suite L262, New York, NY 10001-7604 | 2014-04-23 |
| 1063854487 | Miyuki Kobayashi | Counselor | 244 5th Ave, Suite #2001, New York, NY 10001-7604 | 2013-07-26 |
| 1093157869 | Miquetta L. Trimble | Podiatrist | 244 5th Ave, Suite M286, New York, NY 10001-7604 | 2013-07-22 |
| 1275807182 | Caprice Royal | Social Worker | 244 5th Ave, 8c, New York, NY 10001-7604 | 2012-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1295351948 | Basha Gillian Silver | Psychologist | 544 Fifth Avenue, 10th Floor, New York, NY 10001 | 2020-06-18 |
| 1881219038 | Janice Elizabeth Williams, L.c.s.w., P.C. | Social Worker | 244 5th Ave, Suite W218, New York, NY 10001 | 2020-06-13 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1043831522 | Anderson Hong | Counselor | 352 7th Avenue, Suite 1604, New York, NY 10001 | 2020-05-06 |
| 1689207193 | Emely Castillo | Registered Nurse | 116 W 32nd St, New York, New York, New York, NY 10001 | 2020-02-13 |
| 1447890629 | William Howard Critzman IIi | Clinic/Center | 7 W 30th St. 10th Floor, New York, NY 10001 | 2020-01-15 |
| 1811533201 | Jacqueline Furst | Social Worker | 138 West 25th Street, 6th Floor, /suite 22, New York, NY 10001 | 2019-11-21 |
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1437709896 | Hannah Murray Starobin | Social Worker | 302 5th Avenue, 8th Floor #2, New York City, NY 10001 | 2019-09-18 |
| Find all providers in zip 10001 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1871153767 | Judith Alyce Salerno | Internal Medicine | 300 E 64th St Apt 27a, New York, NY 10065-7548 | 2019-06-13 |
| 1396259826 | Irina Powers Medical Pllc | Internal Medicine | 1562 1st Ave # 308, New York, NY 10028-4004 | 2017-11-20 |
| 1073980744 | Young Soo Lee | Internal Medicine | 211 E 13th St, 4e, New York, NY 10003-5691 | 2015-08-28 |
| 1184007270 | Fiorella Myrella Perez | Internal Medicine | 1 Gustave L Levy Pl # 1070, New York, NY 10029 | 2015-07-07 |
| 1790110195 | Maria Guadalupe Ramos Mendez | Internal Medicine | 440 West 114th Street, Suite 220, New York, NY 10025 | 2013-09-05 |
| 1871927798 | Esther Ugonma Chijioke | Internal Medicine | 101 W 147th St Apt 2e, New York, NY 10039-4367 | 2013-08-27 |
| 1063786887 | Alwin Buenaventura Calderon | Internal Medicine | 201 E. 87th Street, Apartment 19-h, New York, NY 10128 | 2012-02-24 |
| 1225354442 | Allen J. Bennett, M.d.,p.c. | Internal Medicine | 39 Gramercy Park N, Suite 1b, New York, NY 10010-6302 | 2010-04-13 |
| 1942524178 | Slrhc Faculty Practice | Internal Medicine | 2771 Frederick Douglass Boulevard, New York, NY 10039 | 2010-03-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.