Active NPI
Daniel Jeffrey Zimmerman, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Sewell, NJ
National Provider Identifier
1801919741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 25MA04234200
- Practice address
- 100 Kings Way E
Washington Pavillion Suite D 3
Sewell, NJ 08080-2237 - Phone
- (856) 589-1440
- Fax
- (856) 589-4616
- NPI assigned
- Apr 7, 2007
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 25MA04234200 | NJ | Primary |
Addresses
Primary practice location
100 Kings Way E
Washington Pavillion Suite D 3
Sewell, NJ 08080-2237
Mailing address
128 E Franklin Ave
Collingswood, NJ 08108-1116
Phone (856) 313-9195
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04234200 | NJ | MD | Addiction Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801919741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E FRANKLIN AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081081116",
"telephone_number": "856-313-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KINGS WAY E",
"address_2": "WASHINGTON PAVILLION SUITE D 3",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802237",
"telephone_number": "856-589-1440",
"fax_number": "856-589-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "DANIEL",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NJ",
"license": "25MA04234200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.