Individual provider Active NPI

Julia Lim, FNP

  • Family Nurse Practitioner
  • New Windsor, NY
National Provider Identifier
1013619261
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2263583 Issued in NY
Practice address
6305 Clark St
New Windsor, NY 12553-8284
Phone
(201) 468-7857
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2263583 NY Primary

Addresses

Primary practice location

6305 Clark St
New Windsor, NY 12553-8284

Mailing address

6305 Clark St
New Windsor, NY 12553-8284
Phone (201) 468-7857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906000097 NY Practitioner - Nurse Practitioner 7315300555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Oncology Hematology PCGroup PAC ID 3072406222, 82 clinicians

Practice addresses (Care Compare)

400 Patroon Creek Blvd
Suite 1
Albany, NY 12206-5012
Phone (518) 489-0444

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2263583NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Oncology Hematology PC CurrentSince Aug 1, 2023 Accepting new patients
New York Oncology Hematology, P.C. CurrentSince Aug 1, 2023 Accepting new patients

Locations

400 Patroon Creek Blvd
Ste 210
Albany, NY 12206
Phone (518) 459-8106

400 Patroon Creek Blvd
Ste 1
Albany, NY 12206
Phone (518) 399-4600

449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800

69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173

896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1013619261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CLARK ST",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538284",
            "telephone_number": "201-468-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CLARK ST",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538284",
            "telephone_number": "201-468-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JULIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2263583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.