Individual provider Active NPI

Daniel Jason Zimmerman, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1366578734
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
253207 Issued in NY
Practice address
11 Broadway Ste 930
New York, NY 10004-1350
Phone
(646) 242-0737
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 253207 NY Primary

Addresses

Primary practice location

11 Broadway Ste 930
New York, NY 10004-1350

Mailing address

277 1St St Apt 3B
Brooklyn, NY 11215-2075
Phone (646) 242-0737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J. Zimmerman, M.D., Psychiatry Services, PLLC CurrentSince Dec 10, 2023 Accepting new patients

Locations

11 Broadway
Ste 930
New York, NY 10004
Phone (212) 320-2216

11 Broadway
Ste 1168
New York, NY 10004
Phone (212) 320-2216

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1366578734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 1ST ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152075",
            "telephone_number": "646-242-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY STE 930",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041350",
            "telephone_number": "646-242-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "DANIEL",
        "middle_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "253207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.