Stanley S. Zimmelman, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS6377 Issued in FL

Practice address

3640 Yacht Club Dr
# 1109
Aventura, FL 33180-3558

Phone

(305) 932-1103

Fax

(305) 932-1104

NPI assigned

Jul 24, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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.

• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888
  Medicare reassignment NPD
• Coastline Imaging LLC

  dba Encore Imaging

  • Diagnostic Radiology Physician
  • Melbourne, FL
  • NPI 1770576167
  NPD
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853
  NPD
• Apex Radiology

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Coral Springs, FL
  • NPI 1235100454
  NPD (past)
• Elite Imaging, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD (past)
• Enlighten Radiology of Florida PLLC

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1437478260
  NPD (past)
• Midtown Imaging LLC

  • Clinic/Center
  • Jupiter, FL
  • NPI 1568531911
  NPD (past)
• North Broward Radiologists, P.a.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1306820295
  NPD (past)
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517

  Diagnostic Radiology

  NPD (past)
• Palms West Imaging Inc

  dba Palms West Open MRI - RPB

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1700877602

  Diagnostic Radiology

  NPD (past)
• Palms West MRI, LLC

  • Radiology Clinic/Center
  • Belle Glade, FL
  • NPI 1871584771
  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • Pharmacy
  • Gainesville, FL
  • NPI 1497645915
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598787798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 YACHT CLUB DR",
            "address_2": "# 1109",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803558",
            "telephone_number": "305-932-1103",
            "fax_number": "305-932-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 YACHT CLUB DR",
            "address_2": "# 1109",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803558",
            "telephone_number": "305-932-1103",
            "fax_number": "305-932-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMELMAN",
        "first_name": "STANLEY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS6377",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS8012L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "DO25896",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "012031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2708793",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1619012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054047100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "419772",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Zamor, BS
• Herscleven L Zayas
• Marat Zeltsman, DO
• Tamara Zera
• Shuai Zhao, MD
• Lydia Ann Zimmerman, MSW
• Zion Global Health Center Corp
• Zion Global Health LLC
• David B Zionts, DMD
• Ariel Zisman, M.D.

• Diagnostic Radiology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.