NPIMap

Organization Active NPI

Dr. Mitchell T. Zimmel PA

  • Podiatrist
  • Little Silver, NJ
National Provider Identifier
1427117241
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00196200 Issued in NJ
Legal business name
DR. MITCHELL T. ZIMMEL PA
Practice address
180 White Rd
Suite 105
Little Silver, NJ 07739-1166
Phone
(732) 224-0800
Fax
(732) 224-0918
NPI assigned
Dec 7, 2006
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Mitchell T Zimmel, D.P.M.NPI 1982659892
Title
Physician Owner
Phone
(732) 224-0800

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
Podiatrist 213E00000X 25MD00196200 NJ Primary

Addresses

Primary practice location

180 White Rd
Suite 105
Little Silver, NJ 07739-1166

Mailing address

180 White Rd
Suite 105
Little Silver, NJ 07739-1166
Phone (732) 224-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060206000172 NJ Part B Supplier - Clinic/Group Practice 1456365956 Receives reassigned benefits from 6 practitioners
Practice locations: Lincroft, NJ; Tinton Falls, NJ; Shrewsbury, NJ; Little Silver, NJ
O20100930099089 NJ DME Supplier - Physician - Podiatry 1456365956 Practice locations: Little Silver, NJ

National Provider Directory

National Provider Directory

Locations

180 White Rd
Ste 105
Little Silver, NJ 07739
Phone (732) 224-0800

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1427117241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WHITE RD",
            "address_2": "SUITE 105",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391166",
            "telephone_number": "732-224-0800",
            "fax_number": "732-224-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WHITE RD",
            "address_2": "SUITE 105",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391166",
            "telephone_number": "732-224-0800",
            "fax_number": "732-224-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MITCHELL T. ZIMMEL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "ZIMMEL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "732-224-0800",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00196200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.