NPIMap

Organization Active NPI

Patient First Medical Practice PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1255067955
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
PATIENT FIRST MEDICAL PRACTICE PC
Practice address
1256 E 31St St
Brooklyn, NY 11210-4741
Phone
(718) 534-0689
NPI assigned
Jul 26, 2022
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Jason ZimmermanNPI 1073871067
Title
Owner
Phone
(718) 534-0689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

1256 E 31St St
Brooklyn, NY 11210-4741

Mailing address

250 Skillman St Ste 204
Brooklyn, NY 11205-1218
Phone (718) 534-0689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, NJ, TX, PA, MA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20221103001230 NY Part B Supplier - Clinic/Group Practice 0042687006 Receives reassigned benefits from 98 practitioners
Practice locations: Brooklyn, NY; Hollis, NY; New York, NY; Argyle, NY
O20240327002478 GA Part B Supplier - Clinic/Group Practice 0042687006 Receives reassigned benefits from 16 practitioners
Practice locations: Atlanta, GA
O20240329002612 NJ Part B Supplier - Clinic/Group Practice 0042687006 Receives reassigned benefits from 11 practitioners
Practice locations: Hammonton, NJ
O20240418003289 TX Part B Supplier - Clinic/Group Practice 0042687006 Receives reassigned benefits from 13 practitioners
Practice locations: Corpus Christi, TX
O20250407003804 PA Part B Supplier - Clinic/Group Practice 0042687006 Receives reassigned benefits from 12 practitioners
Practice locations: Smethport, PA
O20260129002400 MA Part B Supplier - Clinic/Group Practice 0042687006 Receives reassigned benefits from 1 practitioner
Practice locations: Gardner, MA

National Provider Directory

National Provider Directory

Locations

5607 Everhart Rd
Corpus Christi, TX 78411
Phone (361) 854-4601

Practitioners & affiliated clinicians

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1255067955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SKILLMAN ST STE 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051218",
            "telephone_number": "718-534-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104741",
            "telephone_number": "718-534-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT FIRST MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-534-0689"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.