1. Home
  2. Directory
  3. New Jersey
  4. Edison
  5. Internal Medicine
  6. NPI Profile

MARK I. ZIMMERMAN M.D.
NPI 1447251509
Internal Medicine - Pulmonary Disease in Edison, NJ

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
2 LINCOLN HWY STE 301, EDISON, NJ 08820(732) 549-7380 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark I. Zimmerman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK I. ZIMMERMAN M.D. (NPI 1447251509) is an individual pulmonary disease provider in Edison, New Jersey, licensed in New Jersey (25MA05755500) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of New York University School Of Medicine (1985).

NPPES Registry Identity

NPI1447251509
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMARK I. ZIMMERMANCredential: M.D.
Location Address2 LINCOLN HWY STE 301Edison, NJ 08820-3904
Mailing Address2 Lincoln Hwy Ste 301Edison, NJ 08820-3904 · (732) 549-7380
Phone(732) 549-7380
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 1985
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1447251509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA05755500
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedSpecialistTaxonomy 174400000X · License 25MA05755500 (NJ)
2 LINCOLN HWY STE 301, Edison, NJ 08820
Open in Google Maps ↗

Other Identifiers 3

Other222233003NJ · Horizon Bc
Medicaid5176506NJ
Other4277174NJ · Aetna Ins.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark I. Zimmerman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375679822
PECOS Enrollment IDI20100413000014
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Zimmerman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Internists, P.A.
Same address
Pulmonary Disease
2 STATE ROUTE 27, SUITE 301
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
NPI 1235150244 (732) 549-7380
Hackensack Meridian Health Medical Group - Specialty Care PC
22 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,070 services339 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
248 services123 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
188 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services112 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
108 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers34 claims34 services$31.14 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers38 claims38 services$63.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers21 claims53 services$23.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers29 claims29 services$44.35 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers38 claims38 services$14.52 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers24 claims24 services$10.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAROL ANNA DINNOCENZIO DNP, APN
Nurse Practitioner (Family)
2 LINCOLN HWY STE 301
EDISON, NJ 08820
Middlesex County (732) 549-7380
BYUNG SUK LIM APN
Nurse Practitioner (Gerontology)
2 LINCOLN HWY STE 301
EDISON, NJ 08820
Middlesex County (732) 549-7380
JANELLE SMITH APN
Nurse Practitioner
2 LINCOLN HWY STE 301
EDISON, NJ 08820
Middlesex County (732) 549-7380
RACHEL LEAH ATLAS
Physician Assistant
2 LINCOLN HWY STE 301
EDISON, NJ 08820
Middlesex County (732) 549-7380
BO TANG MD
Internal Medicine (Pulmonary Disease)
2 LINCOLN HWY STE 301
EDISON, NJ 08820
Middlesex County (732) 549-7380
VINCENT DONNABELLA M.D.
Internal Medicine (Pulmonary Disease)
2 LINCOLN HWY STE 301
EDISON, NJ 08820
Middlesex County (732) 549-7380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Zimmerman's NPI number?

The NPI number for Mark Zimmerman is 1447251509. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Mark Zimmerman located?

Mark Zimmerman practices at 2 Lincoln Hwy Ste 301, Edison, NJ 08820. The listed phone number is (732) 549-7380.

What is Mark Zimmerman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Zimmerman enrolled in Medicare?

Yes. Mark Zimmerman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mark Zimmerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Zimmerman reassigns Medicare benefits to 2 organizations: Pulmonary Internists, P.A. (Edison, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Zimmerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Zimmerman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mark Zimmerman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Zimmerman affiliated with any hospitals?

According to CMS data, Mark Zimmerman is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Zimmerman was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.