OrganizationActive
Active Healthcare Medical, PLLC
NPI 1881484764 · Cardiovascular Disease Physician · Hicksville, NY
Provider details
- NPI number
- 1881484764
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ajay Agarwala, Member(732) 236-8212
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Practice location
100 Duffy Ave Ste 510
Hicksville, NY 11801-3636
Phone: (732) 236-8212
Approximate (ZIP-level) locationGet directions
Mailing address
100 Duffy Ave Ste 510
Hicksville, NY 11801-3636
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-05-12
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.