Jay Zimmerman, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

038217 Issued in CT

Practice address

425 Guy Park Ave
Suite 102
Amsterdam, NY 12010-1043

Phone

(518) 843-1240

Fax

(518) 843-0753

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• St. Mary's Healthcare

  • Psychiatric Hospital Unit
  • Amsterdam, NY
  • NPI 1164497103
  NPD (past)
• St. Mary's Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  NPD (past)
• Alan E Selkin MD

  • Gastroenterology Physician
  • Stamford, CT
  • NPI 1518148212
  NPD (past)
• Shoreline Digestive Health Center

  • Specialist
  • Old Saybrook, CT
  • NPI 1528248739
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1093865727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 GUY PARK AVE",
            "address_2": "SUITE 102",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101043",
            "telephone_number": "518-843-1240",
            "fax_number": "518-843-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 GUY PARK AVE",
            "address_2": "SUITE 102",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101043",
            "telephone_number": "518-843-1240",
            "fax_number": "518-843-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "038217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Zager, MSED
• Kimberly Joan Zara, LMSW
• Jessica Zegarelli, PT
• Jian Zhao, M.D.
• Yang Zhou, DDS
• Constance Anna Ziskin, RN
• Eric Miroslav Zorko, OTR/L

• Gastroenterology Physician in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.