Individual provider Active NPI

John M Zimmerman, MD

  • Clinical Cardiac Electrophysiology Physician
  • Hackensack, NJ
National Provider Identifier
1528036217
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MA05047300 Issued in NJ
Practice address
20 Prospect Ave
Ste 701
Hackensack, NJ 07601-1997
Phone
(201) 996-2997
Fax
(201) 996-2571
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MA05047300 NJ Primary

Addresses

Primary practice location

20 Prospect Ave
Ste 701
Hackensack, NJ 07601-1997

Mailing address

20 Grand St
FL 3
Warwick, NY 10990-1035
Phone (845) 368-8800

Other identifiers 10

IdentifierTypeStateIssuer
060066695OtherNJRR MDCR #
2140120OtherNJAETNA HMO #
614P31OtherNJEMPIRE BCBS (255 LAFAYET)
0162507MedicaidNJ
05D742OtherNJEMPIRE BCBS (30 PROSPECT)
2K7886OtherNJHEALTHNET #
8213937OtherNJGHI (PPO) #
BS503OtherNJOXFORD #
05D743OtherNJEMPIRE BCBS (20 PROSPECT)
4346389OtherNJAETNA PPO #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040812000771 NJ Practitioner - Cardiac Electrophysiology 5698747236 Reassigns benefits to 2 organizations
I20050616000267 NY Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5698747236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
New York Medical College, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Hackensack, NJ 07601-1989
Phone (201) 820-4837

257 Lafayette Ave
Suffern, NY 10901-4830
Phone 845353560025027

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA05047300NJMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 19, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 19, 2022 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. CurrentSince Jun 22, 2020 Accepting new patients
Metropolitan Cardiology Consultants, LLC Clinical Cardiac Electrophysiology Past Accepting new patients
Electrophysiology Associates of Northern New Jersey PA PC PastSince Jan 23, 1996 Accepting new patients

Locations

20 Prospect Ave
Ste 516
Hackensack, NJ 07601
Phone (201) 488-8989

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

20 Prospect Ave
Ste 701
Hackensack, NJ 07601
Phone (201) 996-2997

104 Chestnut St
Ridgewood, NJ 07450
Phone (201) 493-8111

30 Hatfield Ln
Ste 209
Goshen, NY 10924
Phone (845) 294-7510

505 State Route 208
Ste 15
Monroe, NY 10950
Phone (845) 268-0330

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

5 Skinner St
Port Jervis, NY 12771
Phone (845) 368-0330

12 Liberty Square Mall
Stony Point, NY 10980
Phone (845) 942-1001

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

257 Lafayette Ave
Ste 330
Suffern, NY 10901
Phone (845) 368-8800

255 Lafayette Ave
Ste 701
Suffern, NY 10901
Phone (845) 368-5953

257 Lafayette Ave
Ste 300
Suffern, NY 10901
Phone (845) 368-0330

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: john.zimmerman@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1528036217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST",
            "address_2": "FL 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-368-8800",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "STE 701",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-2997",
            "fax_number": "201-996-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "MA05047300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR #",
            "identifier": "060066695",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO #",
            "identifier": "2140120",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS (255 LAFAYET)",
            "identifier": "614P31",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162507",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS (30 PROSPECT)",
            "identifier": "05D742",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET #",
            "identifier": "2K7886",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI (PPO) #",
            "identifier": "8213937",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD #",
            "identifier": "BS503",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS (20 PROSPECT)",
            "identifier": "05D743",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "4346389",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.