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Active Life Medical Pllc

Durable Medical Equipment & Medical Supplies in White Plains, NY · enumerated 2020 · authorized official John Rush, Chairman & Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104436237

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Registry record

Entity type Organization (Type 2)
Legal business name Active Life Medical Pllc
Practice address 311 North St Ste 406, White Plains, NY, 10605
Phone (914) 785-7752
Fax (914) 363-0966
Enumeration date Aug 4, 2020
Last updated in NPPES Aug 4, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name John Rush
Title Chairman & Chief Executive Officer
Phone (301) 928-1697

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.

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Frequently asked questions

Who is the authorized official for Active Life Medical Pllc?
NPPES lists John Rush (Chairman & Chief Executive Officer) as the authorized official for this organization.
What is the NPI number for Active Life Medical Pllc?
The NPI for Active Life Medical Pllc is 1104436237, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-04.