Individual provider Active NPI

Jieun Lim

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1184332256
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310857 Issued in NY
Practice address
3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone
(718) 444-7766
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310857 NY Primary

Addresses

Primary practice location

3709 Flatlands Ave
Brooklyn, NY 11234-3507

Mailing address

1422 Outlook Ave
Bronx, NY 10465-1183

Other practice location 1

65 Ashburton Ave
Yonkers, NY 10701-2930
Phone (914) 603-7365

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230116000801 NY Practitioner - Nurse Practitioner 3870964554 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F310857NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 18, 2023 Accepting new patients
Py Medical Services of Ny PLLC CurrentSince Jan 3, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 18, 2023 Accepting new patients
Harmony Medical Services of New York, PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991

155 Dean St
Brooklyn, NY 11217
Phone (718) 694-6700

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

9131 175th St
#13292
Jamaica, NY 11432

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

822 Cedar Ave
#13282
Niagara Falls, NY 14301
Phone (716) 272-1207

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1184332256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 OUTLOOK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343507",
            "telephone_number": "718-444-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Ashburton Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107012930",
            "country_code": "US",
            "telephone_number": "914-603-7365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JIEUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.