Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ACTIVE AGING MEDICAL GROUP INC
Active
Organization
ACTIVE AGING MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER KOLESSA M.D. (CHIEF MEDICAL OFFICER)
(732) 425-3564
Entity
Organization
Contact information
Practice address
188 JEFFERSON ST, SUITE# 111, NEWARK, NJ 07105-1622
(732) 425-3564
(212) 238-7760
Mailing address
188 JEFFERSON ST, SUITE# 111, NEWARK, NJ 07105-1622
(732) 425-3564
(212) 238-7760
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers