NPIMap

Individual provider Active NPI

Aran Degenhardt, MD, MPH&TM

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1649260001
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
234008 Issued in NY
Practice address
30 W 24TH St FL 2
New York, NY 10010-3560
Phone
(212) 366-5100
Fax
(212) 366-6275
NPI assigned
Oct 26, 2005
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 234008 NY Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 234008 NY

Addresses

Primary practice location

30 W 24TH St FL 2
New York, NY 10010-3560

Mailing address

30 W 24TH St FL 2
New York, NY 10010-3560
Phone (212) 366-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013001026 NY Practitioner - Family Practice 3779508114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

355 W 52ND St
New York, NY 10019-6239
Phone (646) 778-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234008NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince May 23, 2022 Accepting new patients
New York University CurrentSince Aug 1, 2025 Accepting new patients
New York University CurrentSince Aug 1, 2025 Accepting new patients
Sports Medicine at Chelsea Current Accepting new patients
Optum Medical Care, P.C. CurrentSince May 23, 2022 Accepting new patients
Optum Medical Care, P.C. PastSince Sep 6, 2020 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

22 W 21st St
Ste 400
New York, NY 10010
Phone (212) 366-5100

30 W 24th St
Fl 2
New York, NY 10010
Phone (212) 366-5100

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: adegenhardt43685@nyumc.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/16784/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 7

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1649260001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 24TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103560",
            "telephone_number": "212-366-5100",
            "fax_number": "212-366-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 24TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103560",
            "telephone_number": "212-366-5100",
            "fax_number": "212-366-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENHARDT",
        "first_name": "ARAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH&TM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "234008",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "234008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.