Byung S. Lim , MD, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

113567 Issued in NY

Legal business name

BYUNG S. LIM , MD, PC

Practice address

14 Hospital Dr
Massena, NY 13662-1019

Phone

(315) 769-6081

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kaipo R

Title

Office Manager

Phone

(315) 769-6081

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Byung S Lim, M.D.

  • Surgery Physician
  • Massena, NY
  • NPI 1093804411

  NY, Surgery

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1124390810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136620606",
            "telephone_number": "315-769-6081",
            "fax_number": "315-769-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621019",
            "telephone_number": "315-769-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUNG S. LIM , MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "R",
        "authorized_official_first_name": "KAIPO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-769-6081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "113567",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "113567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Brush
• Denise Shorkey Buffham, RD, CDE, CD/N
• Carmen Burley
• John Stephen Burnett, M.D.
• Max Tyler Buscaglia
• Gina Caldwell, MSED
• Can/Am Youth Services, Inc.
• Luis Ivan Canales, M.D.
• Michael Andrew Casares, M.D.
• Cassandra Marie Casey I, CASAC-II

• All providers in Massena, NY
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.