Active NPI
Active Assist Medical Supplies Inc
- Durable Medical Equipment & Medical Supplies
- West Nyack, NY
National Provider Identifier
1336028042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ACTIVE ASSIST MEDICAL SUPPLIES INC
- Practice address
- 3296 Palisades Center Dr
West Nyack, NY 10994-6602 - Phone
- (845) 354-7779
- Fax
- (845) 354-7780
- NPI assigned
- Aug 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Serrano
- Title
- Owner
- Phone
- (845) 354-7779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3296 Palisades Center Dr
West Nyack, NY 10994-6602
Mailing address
3296 Palisades Center Dr
West Nyack, NY 10994-6602
Phone (845) 354-7779
National Provider Directory
National Provider DirectoryLocations
3296 Palisades Center Dr
West Nyack, NY 10994
Phone (845) 213-2064
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New City, NY
- NPI 1588729636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1336028042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3296 PALISADES CENTER DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109946602",
"telephone_number": "845-354-7779",
"fax_number": "845-354-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3296 PALISADES CENTER DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109946602",
"telephone_number": "845-354-7779",
"fax_number": "845-354-7780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE ASSIST MEDICAL SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-27",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "SERRANO",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-354-7779",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.