Jonathan R Zirn, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

035819 Issued in CT

Practice address

25 Tamarack Ave
Advanced Derm Care PC
Danbury, CT 06811-4829

Phone

(203) 797-8990

Fax

(203) 743-2199

NPI assigned

May 11, 2006

Last updated

Jul 6, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

DermatologyAlso: Pathology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatopathology Laboratory of New England PCGroup PAC ID 1850356254, 4 clinicians

Advanced Dermcare PCGroup PAC ID 8628043924, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Danbury Hospital Hospital, Danbury, CT, CCN 070033

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dermcare PC

  • Dermatology Physician
  • Danbury, CT
  • NPI 1023068087
  Medicare reassignment Care Compare group NPD
• Dermatopathology Laboratory of New England PC

  • Clinical Medical Laboratory
  • Meriden, CT
  • NPI 1912915828

  Dermatology

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1306896287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TAMARACK AVE",
            "address_2": "ADVANCED DERM CARE PC",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114829",
            "telephone_number": "203-797-8990",
            "fax_number": "203-743-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TAMARACK AVE",
            "address_2": "ADVANCED DERM CARE PC",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114829",
            "telephone_number": "203-797-8990",
            "fax_number": "203-743-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRN",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "035819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001358193",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Zhu
• Anna Petrovna Ziganshina, M.D.
• Dimitry Zilberman, D.O.
• Claire Zimlinghaus, LCGC
• Patrick William Zimmerman, D.O.
• David Mitchell Zolov, MD
• Cristina Zorn, LMFT
• Jesus Zornoza, M.D.
• Keith Zuccala, M.D.
• Stephen J Zuckerman, M.D.

• Dermatology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.