Individual
JOHN M ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROSPECT AVE, STE 701, HACKENSACK, NJ 07601-1997
(201) 996-2997
(201) 996-2571
Mailing address
20 GRAND ST, FL 3, WARWICK, NY 10990-1035
(845) 368-8800
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MA05047300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162507
—
NJ
01
—
05D742
EMPIRE BCBS (30 PROSPECT)
NJ
01
—
05D743
EMPIRE BCBS (20 PROSPECT)
NJ
01
—
060066695
RR MDCR #
NJ
01
—
2140120
AETNA HMO #
NJ
01
—
2K7886
HEALTHNET #
NJ
01
—
4346389
AETNA PPO #
NJ
01
—
614P31
EMPIRE BCBS (255 LAFAYET)
NJ
01
—
8213937
GHI (PPO) #
NJ
01
—
BS503
OXFORD #
NJ
Enumeration date
03/09/2006
Last updated
04/28/2020
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