Active NPI
Robert Andrew Zimmer, D.P.M.
- Foot Surgery Podiatrist
- Dunkirk, NY
National Provider Identifier
1801820782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- NOO3623-1
- Practice address
- 614 Central Ave
Dunkirk, NY 14048-2539 - Phone
- (716) 366-6393
- Fax
- (716) 366-6394
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | NOO3623-1 | NY | Primary |
Addresses
Primary practice location
614 Central Ave
Dunkirk, NY 14048-2539
Mailing address
614 Central Ave
P.O.Box 568
Dunkirk, NY 14048-2539
Phone (716) 366-6393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01158492 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NOO3623-1 | NY | MD | Foot Surgery Podiatrist |
| 003623 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1801820782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 CENTRAL AVE",
"address_2": "P.O.BOX 568",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482539",
"telephone_number": "716-366-6393",
"fax_number": "716-366-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482539",
"telephone_number": "716-366-6393",
"fax_number": "716-366-6394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "ROBERT",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "NOO3623-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01158492",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.