Individual provider Active NPI

Gregg E. Zimmerman, MD

  • Urology Physician
  • Denville, NJ
National Provider Identifier
1790766228
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA08076700 Issued in NJ
Practice address
16 Pocono Rd
Suite 205
Denville, NJ 07834-2901
Phone
(973) 627-0060
Fax
(973) 627-6821
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA08076700 NJ Primary

Addresses

Primary practice location

16 Pocono Rd
Suite 205
Denville, NJ 07834-2901

Mailing address

16 Pocono Rd
Suite 205
Denville, NJ 07834-2901
Phone (973) 627-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20050906000829 NY Practitioner - Urology 0941232458 Reassigns benefits to 1 organization
I20060720000081 NJ Practitioner - Urology 0941232458 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians
John T Mather Memorial HospitalGroup PAC ID 1254237753, 176 clinicians

Practice addresses (Care Compare)

300 Littleton Rd
Suite 301
Parsippany, NJ 07054-4841
Phone (732) 390-7750

620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (732) 390-7750

75 N Country Rd
Port Jefferson, NY 11777-2119

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08076700NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC CurrentSince Oct 1, 2024 Accepting new patients
John T Mather Memorial Hospital CurrentSince Oct 22, 2012 Accepting new patients
Titan Health Partners LLC CurrentSince Oct 1, 2024 Accepting new patients
John T Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital CurrentSince Oct 22, 2012 Accepting new patients
Internal Medicine of Morris County LLC Urology CurrentSince Jul 1, 2020 Accepting new patients
Garden State Urology LLC Urology CurrentSince Oct 23, 2008 Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
John T Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients

Locations

16 Pocono Rd
Denville, NJ 07834
Phone (973) 625-5651

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

16 Pocono Rd
Ste 205
Denville, NJ 07834
Phone (973) 627-0060

23 Pocono Rd
Ste 100
Denville, NJ 07834
Phone (973) 316-1701

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

34-36 Progress St
Ste B
Edison, NJ 08820

261 James St
Ste 1A
Morristown, NJ 07960
Phone (973) 539-0333

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

33 Newton Sparta Rd
Ste 2
Newton, NJ 07860
Phone (973) 627-4055

20 Commerce Blvd
Succasunna, NJ 07876
Phone (973) 252-0333

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35130_gardenstateurology

Organizations & group practices 10

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 5

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1790766228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 205",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-627-0060",
            "fax_number": "973-627-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 205",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-627-0060",
            "fax_number": "973-627-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "GREGG",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA08076700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.