Active NPI
Norman L Lim, MD
- Pediatrics Physician
- Newark, NJ
National Provider Identifier
1124024401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA05353700
- Practice address
- 148 South St
Newark, NJ 07114-2719 - Phone
- (973) 465-8590
- Fax
- (973) 230-9710
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05353700 | NJ | Primary |
Addresses
Primary practice location
148 South St
Newark, NJ 07114-2719
Mailing address
6 Baldwin CT
Roseland, NJ 07068-1331
Phone (973) 226-9182
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA05353700BNB | Other | NJ | HEALTHFIRST NJ |
| 6029108 | Medicaid | NJ | |
| 1125997 | Other | NJ | HORIZON NJ HEALTH NUMBER |
| 1K7960 | Other | NJ | HEALTHNET PROVIDER # |
| 01000339600 | Other | NJ | UNITED HEALTH CARE AMERICHOICE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05353700 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1124024401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BALDWIN CT",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681331",
"telephone_number": "973-226-9182",
"fax_number": "973-226-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 SOUTH ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071142719",
"telephone_number": "973-465-8590",
"fax_number": "973-230-9710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "NORMAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05353700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST NJ",
"identifier": "25MA05353700BNB",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6029108",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH NUMBER",
"identifier": "1125997",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET PROVIDER #",
"identifier": "1K7960",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE AMERICHOICE",
"identifier": "01000339600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.