Individual provider Active NPI

Andrew Zimmerman, MD

  • Internal Medicine Physician
  • Great Neck, NY
National Provider Identifier
1871883462
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
270998 Issued in NY
Practice address
40 Gateway Dr
Great Neck, NY 11021-1829
Phone
(516) 659-1998
NPI assigned
Apr 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 270998 NY Primary

Addresses

Primary practice location

40 Gateway Dr
Great Neck, NY 11021-1829

Mailing address

40 Gateway Dr
Great Neck, NY 11021-1829
Phone (516) 659-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, FL, MN, IL, NJ, MD, AR, RI9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20230208001088 AL Practitioner - Internal Medicine 4486876505
I20230208002469 GA Practitioner - Internal Medicine 4486876505
I20230211000558 FL Practitioner - Internal Medicine 4486876505
I20230215001042 MN Practitioner - Internal Medicine 4486876505
I20230215001448 IL Practitioner - Internal Medicine 4486876505
I20230216001368 NJ Practitioner - Internal Medicine 4486876505 Reassigns benefits to 1 organization
I20230216001516 MD Practitioner - Internal Medicine 4486876505
I20230501001677 AR Practitioner - Internal Medicine 4486876505 Reassigns benefits to 1 organization
I20231010003037 RI Practitioner - Internal Medicine 4486876505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21185NVMDPharmacist
85624SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners California PC CurrentSince Nov 4, 2022 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Nov 4, 2022 Accepting new patients
Openloop Healthcare Partners New Jersey PC CurrentSince Nov 4, 2022 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Nov 4, 2022 Accepting new patients
Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group Past Accepting new patients
Imaging Resource Centers LTD PastSince Nov 4, 2022 Accepting new patients

Locations

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

818 W 7th St
Los Angeles, CA 90017
Phone (949) 694-4937

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

71935 Highway 111
Rancho Mirage, CA 92270
Phone (949) 694-4937

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

128 State St
#3
Augusta, ME 04330

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

121 Washington Ave N
Minneapolis, MN 55401
Phone (612) 424-0434

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229

101 Hudson St
Fl 21
Jersey City, NJ 07302
Phone (201) 706-7135

101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

Interoperability endpoints

  • Direct secure messaging: andrew.zimmerman.1@14883.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1871883462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GATEWAY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211829",
            "telephone_number": "516-659-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GATEWAY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211829",
            "telephone_number": "516-659-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "270998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.