JOHN M ZIMMERMAN MD
NPI 1528036217
Internal Medicine - Clinical Cardiac Electrophysiology in Hackensack, NJ

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
98.07/100
CMS Quality Rating
20 PROSPECT AVE, STE 701, HACKENSACK, NJ 07601(201) 996-2997(201) 996-2571 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John M Zimmerman Md NPPES

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

JOHN M ZIMMERMAN MD (NPI 1528036217) is an individual clinical cardiac electrophysiology provider in Hackensack, New Jersey, licensed in New Jersey (MA05047300) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of New York Medical College (1978).

NPPES Registry Identity

NPI1528036217
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameJOHN M ZIMMERMANCredential: MD
Location Address20 PROSPECT AVE, STE 701Hackensack, NJ 07601-1997
Mailing Address20 Grand St, Fl 3Warwick, NY 10990-1035 · (845) 368-8800 · Fax (845) 987-5979
Fax(201) 996-2571
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1978
Enumeration DateMarch 9, 2006
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1528036217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in NJ · MA05047300
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
20 PROSPECT AVE, Hackensack, NJ 07601

Other Identifiers 10

Other05D743NJ · Empire Bcbs (20 Prospect)
Other8213937NJ · Ghi (ppo) #
Other2K7886NJ · Healthnet #
Other05D742NJ · Empire Bcbs (30 Prospect)
OtherBS503NJ · Oxford #
Other2140120NJ · Aetna Hmo #
Other4346389NJ · Aetna Ppo #
Other614P31NJ · Empire Bcbs (255 Lafayet)
Other060066695NJ · Rr Mdcr #
Medicaid0162507NJ

Accepted 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

John M Zimmerman Md 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 ID5698747236
PECOS Enrollment IDI20040812000771, I20050616000267
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 John Zimmerman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
20 GRAND ST, 3RD FLOOR
Warwick, NY 10990
  • Reassigned Medicare billing, New Jersey and New York enrollments
  • 2 clinicians in this Medicare group
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

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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
702 services561 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.
200 services151 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
172 services127 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
159 services53 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
130 services90 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
117 services89 patients

Hospital Affiliations CMS Care Compare 5

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

Helen Hayes Hospital

Acute Care Hospitals · West Haverstraw, NY
OwnershipGovernment - State
CMS Certification Number330405
Location51 North Route 9WWest Haverstraw, NY 10993 · Rockland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
20 PROSPECT AVE, THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.
HACKENSACK, NJ 07601
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, STE 507
HACKENSACK, NJ 07601
Psychiatry & Neurology (Neurology)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Nurse Practitioner (Acute Care)
20 PROSPECT AVE
HACKENSACK, NJ 07601
Neurological Surgery
20 PROSPECT AVE, SUITE 811
HACKENSACK, NJ 07601
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601

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 John Zimmerman's NPI number?

The NPI number for John Zimmerman is 1528036217. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is John Zimmerman located?

John Zimmerman practices at 20 Prospect Ave Ste 701, Hackensack, NJ 07601. The listed phone number is (201) 996-2997.

What is John Zimmerman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is John Zimmerman enrolled in Medicare?

Yes. John 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 John Zimmerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Zimmerman reassigns Medicare benefits to 2 organizations: Bon Secours Charity Health System Medical Group, P.C. (Warwick, NY) 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 John Zimmerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Zimmerman accept?

Health plans from Oscar Health list John 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 John Zimmerman affiliated with any hospitals?

According to CMS data, John Zimmerman is affiliated with Hackensack University Medical Center, Valley Hospital, Good Samaritan Hospital Of Suffern, St Anthony Community Hospital and Helen Hayes Hospital.

When was this NPI record last updated?

The NPPES record for John Zimmerman was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.