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

Mr. Thomas Frederick Zimmerman, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1245549393

Mr. Thomas Frederick Zimmerman, PHYSICIANASSISTANT is a Medical Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1664
Phone: (718) 818-1234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 009704 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 009704 (NY)

Record details

NPI number1245549393
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 6, 2010
Last updated in NPPESOctober 6, 2010

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