Active NPI
Jan Zimmerman, MS, RD, CDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1053098871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002724
- Practice address
- 40 Prospect Park W Apt 3K
Brooklyn, NY 11215-2347 - Phone
- (917) 817-6225
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 002724 | NY | Primary |
Addresses
Primary practice location
40 Prospect Park W Apt 3K
Brooklyn, NY 11215-2347
Mailing address
40 Prospect Park W Apt 3K
Brooklyn, NY 11215-2347
Phone (917) 817-6225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002724 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fig Health, Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1053098871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PROSPECT PARK W APT 3K",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152347",
"telephone_number": "917-817-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 PROSPECT PARK W APT 3K",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152347",
"telephone_number": "917-817-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "JAN",
"credential": "MS, RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "002724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.