Active Aging Medical P.C.
NPI 1073910055 · Geriatric Medicine (Internal Medicine) Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Aging Medical P.C. is a Geriatric Medicine (Internal Medicine) Physician organization in New York, NY (NPI 1073910055).
Provider details
- NPI number
- 1073910055
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alexander Kolessa, President(732) 425-3564
- License
- 254294 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2015-01-21
Frequently asked questions
- What is Active Aging Medical P.C.'s NPI number?
- Active Aging Medical P.C.'s National Provider Identifier (NPI) is 1073910055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Aging Medical P.C.?
- Active Aging Medical P.C. is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Active Aging Medical P.C. located?
- Active Aging Medical P.C.'s practice location on file with NPPES is 244 5th Ave, New York, NY 10001-7604.
- What is Active Aging Medical P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Active Aging Medical P.C. is (732) 425-3564.
- Does Active Aging Medical P.C. accept Medicare?
- Active Aging Medical P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Active Aging Medical P.C.?
- The authorized official listed on Active Aging Medical P.C.'s NPPES record is Alexander Kolessa, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Aging Medical P.C.'s NPI active?
- Yes — Active Aging Medical P.C.'s NPI (1073910055) is active in the NPPES registry as of the last update on 2015-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.