Individual provider Active NPI

Esther Zimmerman, PA-C

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1063816403
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018104 Issued in NY
Practice address
6550 N Federal Hwy Ste 320
Fort Lauderdale, FL 33308
Phone
(954) 500-7546
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018104 NY Primary

Addresses

Primary practice location

6550 N Federal Hwy Ste 320
Fort Lauderdale, FL 33308

Mailing address

4101 N 37TH Ave
Hollywood, FL 33021-1928
Phone (347) 952-0528

Other practice location 1

44 Bascom Pl
Staten Island, NY 10314-4204
Phone (347) 952-0528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806002056 FL Practitioner - Physician Assistant 3173883048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

6550 N Federal Hwy
Suite 320
Fort Lauderdale, FL 33308-1400
Phone (954) 500-7546

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018104NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Oct 18, 2021 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Oct 18, 2021 Accepting new patients

Locations

6550 N Federal Hwy
Ste 320
Ft Lauderdale, FL 33308
Phone (954) 491-0510

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: esther.zimmerman@forefrontdermatology.emadirect.md

Organizations & group practices 3

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1063816403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N 37TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211928",
            "telephone_number": "347-952-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 N FEDERAL HWY STE 320",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-500-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Bascom Pl",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103144204",
            "country_code": "US",
            "telephone_number": "347-952-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ESTHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.