Provider Demographics
NPI:1407158892
Name:A. JOSHUA ZIMM MD, P.C.
Entity Type:Organization
Organization Name:A. JOSHUA ZIMM MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:A
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:ZIMM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-327-4600
Mailing Address - Street 1:50 E 72ND ST
Mailing Address - Street 2:1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4246
Mailing Address - Country:US
Mailing Address - Phone:212-327-4600
Mailing Address - Fax:917-591-5459
Practice Address - Street 1:50 E 72ND ST
Practice Address - Street 2:1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4246
Practice Address - Country:US
Practice Address - Phone:212-327-4600
Practice Address - Fax:917-591-5459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206767207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH41315Medicare UPIN
NYA100076515Medicare PIN