I used this set up in a react app that works. I created a config file named configstrp.js that contains the following:
module.exports = {
ngrok: {
// use the local frontend port to connect
enabled: process.env.NODE_ENV !== 'production',
port: process.env.PORT || 3000,
subdomain: process.env.NGROK_SUBDOMAIN,
authtoken: process.env.NGROK_AUTHTOKEN
},   }
Require the file in the server. 
const configstrp      = require('./config/configstrp.js');
const ngrok = configstrp.ngrok.enabled ? require('ngrok') : null;
and connect as such
if (ngrok) {
console.log('If nGronk')
ngrok.connect(
    {
    addr: configstrp.ngrok.port,
    subdomain: configstrp.ngrok.subdomain,
    authtoken: configstrp.ngrok.authtoken,
    host_header:3000
  },
  (err, url) => {
    if (err) {
    } else {
    }
   }
  );
 }
Do not pass a subdomain if you do not have a custom domain