Individual provider Active NPI

Fred M Aueron, M.D

  • Cardiovascular Disease Physician
  • East Patchogue, NY
National Provider Identifier
1407897622
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04422800 Issued in NJ
Practice address
240 Patchogue Yaphank Rd
East Patchogue, NY 11772-4868
Phone
(631) 824-4005
NPI assigned
Jun 9, 2006
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 319964 NY
Cardiovascular Disease Physician 207RC0000X 25MA04422800 NJ Primary

Addresses

Primary practice location

240 Patchogue Yaphank Rd
East Patchogue, NY 11772-4868

Mailing address

240 Patchogue Yaphank Rd Ste 205
East Patchogue, NY 11772-4894
Phone (631) 654-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050816001034 NJ Practitioner - Cardiovascular Disease (Cardiology) 3678503950
I20230621002472 NY Practitioner - Cardiovascular Disease (Cardiology) 3678503950 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04422800NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Jul 1, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 1, 2023 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Ekg Interpretation Group Cardiovascular Disease Past Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

129 Sunrise Hwy W
Patchogue, NY 11772
Phone (631) 230-5774

Interoperability endpoints

  • Direct secure messaging: fred.aueron.2@2983.direct.athenahealth.com

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1407897622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PATCHOGUE YAPHANK RD STE 205",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724894",
            "telephone_number": "631-654-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724868",
            "telephone_number": "631-824-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUERON",
        "first_name": "FRED",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "319964",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04422800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.