Individual provider Active NPI

Holly Rita Zimmermann, DC

  • Chiropractor
  • Egg Harbor Township, NJ
National Provider Identifier
1518539329
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00783600 Issued in NJ
Practice address
6106 Black Horse Pike Ste A3
Egg Harbor Township, NJ 08234-9703
Phone
(609) 415-2821
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00783600 NJ Primary

Addresses

Primary practice location

6106 Black Horse Pike Ste A3
Egg Harbor Township, NJ 08234-9703

Mailing address

43 Nanlyn Ter
Toms River, NJ 08753-4233
Phone (848) 240-2793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230314001922 NJ Practitioner - Chiropractic 6709250707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

827 Belmar PLZ
Belmar, NJ 07719-2752
Phone (732) 807-4720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00783600NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Performance Institute PC Chiropractor CurrentSince Jan 27, 2023 Accepting new patients
HZ Enterprises Chiropractor CurrentSince Aug 14, 2023 Accepting new patients
Richard Carlson LLC Chiropractor CurrentSince Jul 20, 2021 Accepting new patients

Locations

827 Belmar Plz
Belmar, NJ 07719
Phone (732) 802-4720

781 Brick Blvd
Brick, NJ 08723
Phone (732) 428-7472

6106 Black Horse Pike
Ste A3
Egg Hbr Twp, NJ 08234
Phone (609) 415-2821

313 South Ave
Ste 205
Fanwood, NJ 07023
Phone (908) 288-7049

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1518539329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NANLYN TER",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534233",
            "telephone_number": "848-240-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 BLACK HORSE PIKE STE A3",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349703",
            "telephone_number": "609-415-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "HOLLY",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00783600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.