Matthew David Zimmerman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

257322 Issued in NY

Practice address

4 Lexington Ave Apt 5C
New York, NY 10010-5419

Phone

(212) 658-0639

Fax

(212) 208-4387

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1114188661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LEXINGTON AVE APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105419",
            "telephone_number": "212-658-0639",
            "fax_number": "212-208-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LEXINGTON AVE APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105419",
            "telephone_number": "212-658-0639",
            "fax_number": "212-208-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "257322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Phillip Zimmerman, LCSW
• Lilli Dash Zimmerman, MD
• Lloyd E. Zimmerman, MD, MPH
• Lori Beth Zimmerman, MD
• Matthew Adam Zimmerman, D.C.
• Molly E Zimmerman, PH.D.
• Patricia Zimmerman
• Regina Zimmerman, PHD, MPH
• Rosemarie Zimmerman, DDS
• Sol Shea Zimmerman, M.D.

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.