Organization Active NPI

Evan J Zimmer MD PA

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1669593323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EVAN J ZIMMER MD PA
Practice address
975 Arthur Godfrey Rd
Suite 308
Miami, FL 33140-3329
Phone
(305) 673-3101
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Evan J Zimmer, MD
Title
Owner
Phone
(305) 673-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

975 Arthur Godfrey Rd
Suite 308
Miami, FL 33140-3329

Mailing address

7100 Hollywood Blvd
Suite 23
Pembroke Pines, FL 33024-7355
Phone (305) 673-3101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669593323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 HOLLYWOOD BLVD",
            "address_2": "SUITE 23",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247355",
            "telephone_number": "305-673-3101",
            "fax_number": "954-967-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 ARTHUR GODFREY RD",
            "address_2": "SUITE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331403329",
            "telephone_number": "305-673-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN J ZIMMER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-673-3101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.