Individual provider Active NPI

Susanne W Zimmermann, M.D.

  • Family Medicine Physician
  • Eatontown, NJ
National Provider Identifier
1083685747
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA56118 Issued in NJ
Practice address
2-12 Corbett Way
Suite 102
Eatontown, NJ 07724-4251
Phone
(732) 263-7965
Fax
(732) 263-7962
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA56118 NJ Primary

Addresses

Primary practice location

2-12 Corbett Way
Suite 102
Eatontown, NJ 07724-4251

Mailing address

2-12 Corbett Way
Suite 102
Eatontown, NJ 07724-4251
Phone (732) 263-7965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201001217 NJ Practitioner - Family Practice 2961698972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Primary Care of New Jersey PAGroup PAC ID 2567906373, 6 clinicians

Practice addresses (Care Compare)

1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 774-6333

142 Hwy 35
Suite 206
Eatontown, NJ 07724-1884
Phone (848) 258-0637

35 Broad St
Keyport, NJ 07735-1267
Phone (732) 888-4149

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56118NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients
Carbon Health Primary Care of New Jersey PA CurrentSince Dec 9, 2025 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jul 1, 2019 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jul 1, 2019 Accepting new patients
Jersey Shore Internal Medicine and Family Practice Associates PC Family Medicine Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

142 Highway 35
Eatontown, NJ 07724
Phone (732) 389-5004

142 Highway 35
Ste 206
Eatontown, NJ 07724
Phone (848) 258-0637

119 US Highway 22
Ste 8
Green Brook, NJ 08812
Phone (908) 333-4234

35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1083685747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-12 CORBETT WAY",
            "address_2": "SUITE 102",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244251",
            "telephone_number": "732-263-7965",
            "fax_number": "732-263-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-12 CORBETT WAY",
            "address_2": "SUITE 102",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244251",
            "telephone_number": "732-263-7965",
            "fax_number": "732-263-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "SUSANNE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA56118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.