Active Therapy Supply, Inc
Active Therapy Supply, Inc is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in Brooklyn, NY, holding Type 2 (organization) NPI 1033116447 since 2005. The authorized official on file is Roza Minazova, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033116447 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Active Therapy Supply, Inc |
| Other name | <Unavail> |
| Practice address | 4050 NOSTRAND AVE STE 3M, Brooklyn, NY, 11235 |
| Phone | 7185442850 |
| Fax | 6464166653 |
| Enumeration date | 2005-06-30 |
| Last updated in NPPES | 2024-01-31 |
Authorized official
| Name | Roza Minazova |
|---|---|
| Title | President |
| Phone | 7185442850 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Primary | — | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01077054 | Medicaid | NY | — |
| 0119355 | Other | NY | AETNA |
| ANC1430 | Other | NY | OXFORD |
Copy-ready billing details
Provider: Active Therapy Supply, Inc NPI: 1033116447 Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies) Address: 4050 NOSTRAND AVE STE 3M, Brooklyn, NY, 11235
Verify this record
Cross-check NPI 1033116447 against the authoritative CMS record: view Active Therapy Supply, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Active Therapy Supply, Inc?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-31.