OrganizationActive
Health and Endurance Medical P.C.
NPI 1801044821 · Medical Specialty Clinic/Center · Cresskill, NJ
Provider details
- NPI number
- 1801044821
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sergei Kochlatyi, President(917) 974-7172
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
110 5th St
Cresskill, NJ 07626-2002
Phone: (917) 974-7172
Fax: (201) 313-8888
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 519
Tenafly, NJ 07670-0519
Registry dates
- Enumerated
- 2008-09-03
- Last updated
- 2016-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.