Individual provider Active NPI

Hongsoon Lim, D.C

  • Chiropractor
  • Old Tappan, NJ
National Provider Identifier
1023312204
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00684200 Issued in NJ
Practice address
7 Dogwood CT
Old Tappan, NJ 07675-3500
Phone
(703) 581-9552
NPI assigned
Jan 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00684200 NJ Primary

Addresses

Primary practice location

7 Dogwood CT
Old Tappan, NJ 07675-3500

Mailing address

1506 Hudson Park
Edgewater, NJ 07020-1572
Phone (703) 581-9552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC00684200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Edison Wellness Holistic Center PC Chiropractor Current Accepting new patients
Ec Chiropractic and Rehab Chiropractor CurrentSince Mar 11, 2025 Accepting new patients
Bliss Wellness Chiropractic Ny PC Chiropractor Past Accepting new patients
Bliss Chiropractic and Rehab Clinic PC Chiropractor Past Accepting new patients

Locations

440 Sylvan Ave
Ste 135
Englewood Cliffs, NJ 07632
Phone (201) 566-6398

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1023312204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 HUDSON PARK",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201572",
            "telephone_number": "703-581-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DOGWOOD CT",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076753500",
            "telephone_number": "703-581-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "HONGSOON",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00684200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Tappan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.