Organization Active NPI

Active Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Long Island City, NY
National Provider Identifier
1679363485
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACTIVE MEDICAL SUPPLIES INC
Practice address
3301 38TH Ave # Studio2
Long Island City, NY 11101-2229
Phone
(347) 448-6957
Fax
(347) 507-0221
NPI assigned
May 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Yuriy Iskhakov
Title
President
Phone
(347) 448-6957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3301 38TH Ave # Studio2
Long Island City, NY 11101-2229

Mailing address

3301 38TH Ave # Studio2
Long Island City, NY 11101-2229
Phone (347) 448-6957

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1679363485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 38TH AVE # STUDIO2",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012229",
            "telephone_number": "347-448-6957",
            "fax_number": "347-507-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 38TH AVE # STUDIO2",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012229",
            "telephone_number": "347-448-6957",
            "fax_number": "347-507-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-448-6957"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.