OrganizationActive
Alive Healthcare & Medical Group
NPI 1326484478 · Internal Medicine Physician · Patchogue, NY
Provider details
- NPI number
- 1326484478
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jamie Andre, Ceo(347) 392-7208
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
152 N Ocean Ave
Patchogue, NY 11772-2004
Phone: (347) 392-7208
Street-level locationGet directions
Mailing address
11 Alyssum Ave
Huntington, NY 11743-5606
Registry dates
- Enumerated
- 2013-05-16
- Last updated
- 2013-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.