Azriel Zimmerman

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15093200 Issued in NJ

Practice address

180 Lafayette Ave Apt 6E
Passaic, NJ 07055-4740

Phone

(551) 352-6512

NPI assigned

Jun 20, 2024

Last updated

Jun 20, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, MA, AZ, IL4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Stress Care of New Jersey, LLC

  • Community/Behavioral Health Agency
  • Matawan, NJ
  • NPI 1033433834
  Medicare reassignment NPD
• Azriel Zimmerman PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1184512964
  NPD Authorized official
• Teletherapeutics Health in C

  • Clinical Psychologist
  • Sierra Vista, AZ
  • NPI 1336886886
  Medicare reassignment
• Well-America Corporation

  • Clinical Psychologist
  • Springfield, IL
  • NPI 1033852603
  Medicare reassignment
• Well-America Inc

  • Clinical Psychologist
  • Amherst, MA
  • NPI 1881337442
  Medicare reassignment
• Stress Care of New Jersey, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerset, NJ
  • NPI 1982345567
  NPD
• Nulife Recovery Illinois, Inc

  • Adult Mental Health Clinic/Center
  • Buffalo Grove, IL
  • NPI 1912610411
  NPD (past)

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1841034261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LAFAYETTE AVE APT 6E",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554740",
            "telephone_number": "551-352-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LAFAYETTE AVE APT 6E",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554740",
            "telephone_number": "551-352-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "AZRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15093200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret J Wu, M.D.
• Ji Young Yun
• Steven Zalaznick, O.D.
• Jeffrey Chao Zhang, DMD
• Cheryl Ann Ziemba, MD
• Chaya Zuckerman
• Arielle D Zur, MD
• Sharon Beth Zwickler, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.