Individual provider Active NPI

Aaron Dale Huizenga, D.O.

  • Family Medicine Physician
  • Clayton, NY
National Provider Identifier
1003822743
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
247591 Issued in NY
Practice address
909 Strawberry LN
Clayton, NY 13624-1409
Phone
(315) 686-2094
Fax
(315) 686-2821
NPI assigned
Aug 1, 2006
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 247591 NY Primary

Addresses

Primary practice location

909 Strawberry LN
Clayton, NY 13624-1409

Mailing address

909 Strawberry LN
Clayton, NY 13624-1409
Phone (315) 686-2094

Other identifiers 1

IdentifierTypeStateIssuer
03477034MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000162 NY Practitioner - Family Practice 5597760017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

909 Strawberry LN
Clayton, NY 13624-1409
Phone (315) 656-2094

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: aaron.huizenga@sfhcny.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/728ef80e-de1b-4c4d-b27c-2c7ac1cd8b9f/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDGGAA/Endpoint/HDGGAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1003822743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 STRAWBERRY LN",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241409",
            "telephone_number": "315-686-2094",
            "fax_number": "315-686-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 STRAWBERRY LN",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241409",
            "telephone_number": "315-686-2094",
            "fax_number": "315-686-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZENGA",
        "first_name": "AARON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "247591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03477034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NY

Sources for this page

Verify at the official NPI Registry.