Active Therapy Supply, Inc
Durable Medical Equipment & Medical Supplies
4050 Nostrand Ave Ste 3m, Brooklyn
New York, 11235-2250
718-544-2850 646-416-6653
Active Therapy Supply, Inc may be a DME supplier for Medicare equipment and products.Active Therapy Supply, Inc is a Durable Medical Equipment & Medical Supplies in Brooklyn, New York. It is located at 4050 Nostrand Ave Ste 3m, Brooklyn and it's customer support contact number is 718-544-2850. The authorized person of Active Therapy Supply, Inc is Roza Minazova who is President of this DME and his contact number is 718-544-2850.
Active Therapy Supply, Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Active Therapy Supply, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Active Therapy Supply, Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4050 Nostrand Ave Ste 3m, Brooklyn, New York, 11235-2250 |
| Phone: | 718-544-2850 |
| Fax: | 646-416-6653 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Roza Minazova |
| Position: | President |
| Contact Number: | 718-544-2850 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1033116447 |
| NPI Enumeration Date: | 30 Jun, 2005 |
| NPI Last Update On: | 31 Jan, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Therapy Supply, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01077054 | Medicaid | New York | |
| 0119355 | Other | New York | Aetna |
| ANC1430 | Other | New York | Oxford |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 96-09 Metropolitan Ave., Forest Hills, New York |
| Zip: | 11375-6647 |
| Phone Number: | 718-544-2850 |
| Fax Number: | 646-416-6653 |
Patients can reach Active Therapy Supply, Inc at
4050 Nostrand Ave Ste 3m, Brooklyn, New York or can
call on customer care at 718-544-2850.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.