Individual provider Active NPI

Aran Ron, M.D.

  • Internal Medicine Physician
  • Mamaroneck, NY
National Provider Identifier
1093919722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
159504 Issued in NY
Practice address
1012 Constable Dr
Mamaroneck, NY 10543-4702
Phone
(914) 777-3395
Fax
(914) 777-3396
NPI assigned
Jun 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 159504 NY Primary

Addresses

Primary practice location

1012 Constable Dr
Mamaroneck, NY 10543-4702

Mailing address

1012 Constable Dr
Mamaroneck, NY 10543-4702
Phone (914) 777-3395

Other identifiers 1

IdentifierTypeStateIssuer
E20464MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159504NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Guardian Services PastSince Sep 5, 2018 Accepting new patients
The Institute for Family Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093919722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CONSTABLE DR",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434702",
            "telephone_number": "914-777-3395",
            "fax_number": "914-777-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CONSTABLE DR",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434702",
            "telephone_number": "914-777-3395",
            "fax_number": "914-777-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RON",
        "first_name": "ARAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "159504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E20464",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.