Individual provider Active NPI

Mitchell Zimmel, D.P.M.

  • Podiatrist
  • Little Silver, NJ
National Provider Identifier
1982659892
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00196200 Issued in NJ
Practice address
180 White Rd
Suite 105
Little Silver, NJ 07739-1166
Phone
(732) 224-0800
Fax
(732) 224-0918
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00196200 NJ Primary

Addresses

Primary practice location

180 White Rd
Suite 105
Little Silver, NJ 07739-1166

Mailing address

180 White Rd
Suite 105
Little Silver, NJ 07739-1166
Phone (732) 224-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000487 NJ Practitioner - Podiatry 4880609221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Mitchell T. Zimmel PAGroup PAC ID 1456365956, 2 clinicians

Practice addresses (Care Compare)

180 White Rd
Suite 105
Little Silver, NJ 07739-1166
Phone (732) 224-0800

5 Meridian Way
Shrewsbury, NJ 07702-4353
Phone (732) 212-2686

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue107
Removal of skin lesions74
Removal of nail tissue1020
Removal or shaving of skin growth284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MD00196200NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mitchell T. Zimmel PA Podiatrist CurrentSince Feb 1, 2006 Accepting new patients
Mitchell T Zimmel Podiatrist Past Accepting new patients

Locations

180 White Rd
Ste 105
Little Silver, NJ 07739
Phone (732) 224-0800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/dd839e2d-c171-46e8-bad2-f7adc1f055dd/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1982659892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WHITE RD",
            "address_2": "SUITE 105",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391166",
            "telephone_number": "732-224-0800",
            "fax_number": "732-224-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WHITE RD",
            "address_2": "SUITE 105",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391166",
            "telephone_number": "732-224-0800",
            "fax_number": "732-224-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMEL",
        "first_name": "MITCHELL",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00196200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.