Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex Jason Zimmerman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942941778

Alex Jason Zimmerman is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone: (631) 474-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1942941778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESMarch 30, 2024
Certification dateMarch 30, 2024

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