MR. THOMAS FREDERICK ZIMMERMAN PHYSICIAN ASSISTANT NPI 1245549393

NPI Information

NPI: 1245549393
Provider Name: MR. THOMAS FREDERICK ZIMMERMAN, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
355 BARD AVE
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 818-1234
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MR. Thomas Frederick Zimmerman, PHYSICIAN ASSISTANT is a surgical physician assistant in Staten Island, NY. MR. Thomas Frederick Zimmerman, PHYSICIAN ASSISTANT NPI is 1245549393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

355 BARD AVE
STATEN ISLAND, NY
ZIP 10310-664
Phone: (718) 818-1234

The enumeration date for this NPI number is 10/6/2010 and was last updated on 10/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	009704	NEW YORK	No
2	363AS0400X	Physician Assistant	Surgical	009704	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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