Individual provider Active NPI

Michael John Zimmer, M.D.

  • Family Medicine Physician
  • Eatontown, NJ
National Provider Identifier
1881825743
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301094070 Issued in MI
Practice address
135 Highway 35
Eatontown, NJ 07724-1813
Phone
(848) 308-5309
Fax
(732) 212-6399
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301094070 MI Primary

Addresses

Primary practice location

135 Highway 35
Eatontown, NJ 07724-1813

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other identifiers 1

IdentifierTypeStateIssuer
320035325OtherMITAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, WV, PA, VA, NJ6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20120828000883 MI Practitioner - Family Practice 2961659859 Reassigns benefits to 1 organization
I20221221001830 FL Practitioner - Family Practice 2961659859 Reassigns benefits to 2 organizations
I20221227000236 WV Practitioner - Family Practice 2961659859
I20221228003167 PA Practitioner - Family Practice 2961659859 Reassigns benefits to 1 organization
I20231229000053 VA Practitioner - Family Practice 2961659859 Reassigns benefits to 1 organization
I20240927001855 NJ Practitioner - Family Practice 2961659859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

135 Hwy 35 N
Eatontown, NJ 07724-1813
Phone (848) 300-2210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094070MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Jul 1, 2019 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Dec 14, 2022 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Dec 14, 2022 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 14, 2022 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Dec 14, 2022 Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Family Medicine CurrentSince Dec 14, 2022 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Dec 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Aug 19, 2024 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Dec 14, 2022 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine Current Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100

1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118

45 Grand River Ave
Detroit, MI 48226
Phone (313) 324-8177

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

7800 W Outer Dr
Detroit, MI 48235
Phone (313) 387-8800

159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000

39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710

26300 Woodward Ave
Royal Oak, MI 48067
Phone (248) 546-2110

3500 15 Mile Rd
Sterling Hts, MI 48310
Phone (586) 977-9300

22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

135 NJ 35
Eatontown, NJ 07724
Phone (848) 308-4911

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1881825743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HIGHWAY 35",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241813",
            "telephone_number": "848-308-5309",
            "fax_number": "732-212-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "320035325",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.