Active NPI
Jessica W. Lim, M.D.
- Otolaryngology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 192554-1
- Practice address
- 186 E 76TH St
Second Floor
New York, NY 10021-2844 - Phone
- (212) 434-2323
- Fax
- (212) 434-6885
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 192554-1 | NY | Primary |
Addresses
Primary practice location
186 E 76TH St
Second Floor
New York, NY 10021-2844
Mailing address
186 E 76TH St
Second Floor
New York, NY 10021-2844
Phone (212) 434-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01859787 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192554 | NY | MD | Licensed Practical Nurse |
| 192554-1 | NY | MD | Otolaryngology Physician |
| 195554 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenox Hill Hospital Medical, PC | Otolaryngology | Current | Accepting new patients |
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Otolaryngology | Past | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400
186 E 76th St
Fl 2
New York, NY 10021
Phone (212) 327-3000
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
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.
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- Internal Medicine Physician
- Westbury, NY
- NPI 1326328188
Otolaryngology
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Surgery Physician
- White Plains, NY
- NPI 1992921407
-
- Otolaryngology Physician
- Brooklyn, NY
- NPI 1194772632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1114902723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 E 76TH ST",
"address_2": "SECOND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212844",
"telephone_number": "212-434-2323",
"fax_number": "212-434-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 E 76TH ST",
"address_2": "SECOND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212844",
"telephone_number": "212-434-2323",
"fax_number": "212-434-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "JESSICA",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "192554-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01859787",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.