Organization Active NPI

Active Assist Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • West Nyack, NY
National Provider Identifier
1336028042
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard SerranoNPI 1588729636
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.