Individual provider Active NPI

Yejin Lim

  • Adult Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1073488664
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
034902 Issued in NY
Practice address
409 Knickerbocker Ave Apt 2
Brooklyn, NY 11237-6823
Phone
(516) 386-8663
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 034902 NY Primary

Addresses

Primary practice location

409 Knickerbocker Ave Apt 2
Brooklyn, NY 11237-6823

Mailing address

409 Knickerbocker Ave Apt 2
Brooklyn, NY 11237-6823
Phone (516) 386-8663

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
I20260129000838 NY Practitioner - Physician Assistant 4486132735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

409 Knickerbocker Ave
Apt 2
Brooklyn, NY 11237-4516

709 Knickerbocker Ave
Apt 2
Brooklyn, NY 11221-5389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034902NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Choice Care Adult Medicine CurrentSince Jan 1, 2026 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJGGDD/Endpoint/BJGGDD

Organizations & group practices 1

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": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1073488664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KNICKERBOCKER AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112376823",
            "telephone_number": "516-386-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 KNICKERBOCKER AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112376823",
            "telephone_number": "516-386-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "YEJIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "034902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.