Active Aging Medical Group Inc
NPI 1720368772 · Medical Specialty Clinic/Center · Newark, NJ
Active Aging Medical Group Inc is a Medical Specialty Clinic/Center organization in Newark, NJ (NPI 1720368772).
Provider details
- NPI number
- 1720368772
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alexander Kolessa, Chief Medical Officer(732) 425-3564
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2011-08-23
- Last updated
- 2011-08-23
Frequently asked questions
- What is Active Aging Medical Group Inc's NPI number?
- Active Aging Medical Group Inc's National Provider Identifier (NPI) is 1720368772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Aging Medical Group Inc?
- Active Aging Medical Group Inc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Active Aging Medical Group Inc located?
- Active Aging Medical Group Inc's practice location on file with NPPES is 188 Jefferson St, Newark, NJ 07105-1622.
- What is Active Aging Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Active Aging Medical Group Inc is (732) 425-3564.
- Who is the authorized official for Active Aging Medical Group Inc?
- The authorized official listed on Active Aging Medical Group Inc's NPPES record is Alexander Kolessa, Chief Medical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Aging Medical Group Inc's NPI active?
- Yes — Active Aging Medical Group Inc's NPI (1720368772) is active in the NPPES registry as of the last update on 2011-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.