Individual provider Active NPI

Aaron M Olden, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Penfield, NY
National Provider Identifier
1225086440
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
239654 Issued in NY
Practice address
421 Penbrooke Dr Ste 12a
Penfield, NY 14526-2045
Phone
(585) 481-1811
Fax
(585) 364-0156
NPI assigned
May 4, 2006
Last updated
Dec 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 239654 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 239654 NY Primary

Addresses

Primary practice location

421 Penbrooke Dr Ste 12a
Penfield, NY 14526-2045

Mailing address

421 Penbrooke Dr Ste 12a
Penfield, NY 14526-2045
Phone (585) 481-1811

Other practice location 1

3111 Winton Rd S
Rochester, NY 14623-2905
Phone (585) 214-1000

Other identifiers 1

IdentifierTypeStateIssuer
P00884028OtherNYMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 24, 2025 through Feb 24, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1225086440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PENBROOKE DR STE 12A",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262045",
            "telephone_number": "585-481-1811",
            "fax_number": "585-364-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PENBROOKE DR STE 12A",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262045",
            "telephone_number": "585-481-1811",
            "fax_number": "585-364-0156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Winton Rd S",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146232905",
            "country_code": "US",
            "telephone_number": "585-214-1000",
            "fax_number": "585-214-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDEN",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239654",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "239654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00884028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.