Active NPI
Leonard Zimmerman, MD
- Internal Medicine Physician
- West Nyack, NY
National Provider Identifier
1962496935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1064351
- Practice address
- 2 Crosfield Ave
Suite 318
West Nyack, NY 10994-2226 - Phone
- (845) 353-5600
- Fax
- (845) 353-5668
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1064351 | NY | Primary |
Addresses
Primary practice location
2 Crosfield Ave
Suite 318
West Nyack, NY 10994-2226
Mailing address
20 Grand St
3Rd Floor
Warwick, NY 10990-1035
Phone (845) 987-3952
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M101118 | Other | AETNA/USHC | |
| 0009322 | Other | GHI | |
| 00186801 | Medicaid | NY | |
| M4473575 | Other | AETNA | |
| W07721 | Other | MEDICARE | |
| 02242088 | Other | MEDICAID |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1064351 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockland Pulmonary and Medical Associates, PC | Internal Medicine | Current | Accepting new patients |
| Bon Secours Charity Health System Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
2 Crosfield Ave
Ste 318
West Nyack, NY 10994
Phone (845) 353-5600
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- West Nyack, NY
- NPI 1568409548
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1962496935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRAND ST",
"address_2": "3RD FLOOR",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-987-3952",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE",
"address_2": "SUITE 318",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942226",
"telephone_number": "845-353-5600",
"fax_number": "845-353-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "LEONARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1064351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "M101118",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0009322",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00186801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "M4473575",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "W07721",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "02242088",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.