Active NPI
Rose Lim, APN-C
- Family Nurse Practitioner
- Ridgewood, NJ
National Provider Identifier
1134467749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00397100
- Practice address
- 1200 E Ridgewood Ave Ste 304
Ridgewood, NJ 07450-3937 - Phone
- (201) 689-9400
- NPI assigned
- Jan 17, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00397100 | NJ | Primary |
Addresses
Primary practice location
1200 E Ridgewood Ave Ste 304
Ridgewood, NJ 07450-3937
Mailing address
1200 E Ridgewood Ave Ste 304
Ridgewood, NJ 07450-3937
Phone (201) 689-9400
Other practice location 1
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00397100 | NJ | MD | Family Nurse Practitioner |
Interoperability endpoints
- cardiacare.roselim@135257.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1134467749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E RIDGEWOOD AVE STE 304",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503937",
"telephone_number": "201-689-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E RIDGEWOOD AVE STE 304",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503937",
"telephone_number": "201-689-9400"
}
],
"practiceLocations": [
{
"address_1": "223 N Van Dien Ave",
"address_purpose": "LOCATION",
"city": "Ridgewood",
"state": "NJ",
"postal_code": "074502726",
"country_code": "US",
"telephone_number": "201-447-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "ROSE",
"credential": "APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00397100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.