Active NPI
Aaron M Olden, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Penfield, NY
National Provider Identifier
1225086440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 239654
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00884028 | Other | NY | MEDICARE 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.