Active NPI
Arnold Stuart Zimmerman, DO
- Dermatology Physician
- Ocean, NJ
National Provider Identifier
1295988541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MB02508000
- Practice address
- 17 Carbury Rd
Ocean, NJ 07712-2542 - Phone
- (732) 695-1781
- Fax
- (732) 493-2529
- NPI assigned
- Oct 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MB02508000 | NJ | Primary |
Addresses
Primary practice location
17 Carbury Rd
Ocean, NJ 07712-2542
Mailing address
17 Carbury Rd
Ocean, NJ 07712-2542
Phone (732) 695-1781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB02508000 | NJ | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1295988541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CARBURY RD",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077122542",
"telephone_number": "732-695-1781",
"fax_number": "732-493-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CARBURY RD",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077122542",
"telephone_number": "732-695-1781",
"fax_number": "732-493-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ARNOLD",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MB02508000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.