Active NPI
Elgene Lim, M.D.
- Medical Oncology Physician
- Boston, MA
National Provider Identifier
1073817524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 246077
- Practice address
- 44 Binney St
Yawkey 1242
Boston, MA 02446 - Phone
- (617) 632-3000
- Fax
- (617) 632-1930
- NPI assigned
- Dec 27, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 246077 | MA | Primary |
Addresses
Primary practice location
44 Binney St
Yawkey 1242
Boston, MA 02446
Mailing address
44 Binney St
Yawkey 1242
Boston, MA 02446
Phone (617) 632-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246077 | Other | MA | MASSACHUSETTS MEDICAL BOARD LICENSE NUMBER |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246077 | MA | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1073817524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "YAWKEY 1242",
"city": "BOSTON",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-632-3000",
"fax_number": "617-632-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "YAWKEY 1242",
"city": "BOSTON",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-632-3000",
"fax_number": "617-632-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "ELGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-27",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "246077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS MEDICAL BOARD LICENSE NUMBER",
"identifier": "246077",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.