Individual provider Active NPI

Judy Mi-Young Lim, MD

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1083667208
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0007496 Issued in DE
Practice address
314 E Main St Ste 103
Newark, DE 19711
Phone
(023) 663-0550
Fax
(302) 366-8905
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0007496 DE Primary

Addresses

Primary practice location

314 E Main St Ste 103
Newark, DE 19711

Mailing address

314 E Main Street
Suite 103
Newark, DE 19711-7128
Phone (302) 366-0550

Other identifiers 1

IdentifierTypeStateIssuer
1000039778MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000295 DE Practitioner - Family Practice 1557310398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premiere Physicians P.a.Group PAC ID 7416845383, 2 clinicians

Practice addresses (Care Compare)

314 E Main St
Suite 103
Newark, DE 19711-7180
Phone (302) 366-0550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Seth L Ivins MD LLC CurrentSince May 12, 2009 Accepting new patients
Complete Sleep Lab Inc CurrentSince Aug 20, 2018 Accepting new patients
Premiere Physicians P.a. CurrentSince Apr 25, 2018 Accepting new patients
Family Physicians of Wilmington LLC Family Medicine Past Accepting new patients

Locations

314 E Main St
Ste 103
Newark, DE 19711
Phone (302) 366-0550

1415 Foulk Rd
Wilmington, DE 19803
Phone (302) 999-8830

Interoperability endpoints

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

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.

Hospital & facility affiliations 8

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1083667208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MAIN STREET",
            "address_2": "SUITE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-366-0550",
            "fax_number": "302-633-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST STE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "023-663-0550",
            "fax_number": "302-366-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JUDY",
        "middle_name": "MI-YOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0007496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039778",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.