Active NPI
David Wai Lim, M.D., C.M.
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1205101573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 345 W 145TH St
#4C4
New York, NY 10031-5302 - Phone
- (780) 908-9245
- NPI assigned
- Mar 19, 2012
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
345 W 145TH St
#4C4
New York, NY 10031-5302
Mailing address
Windsor Park Plaza (Tower 1)
11135 - 83Rd Avenue NW, Suite 808
Edmonton, ALBERTA T6G2C6
CA
Phone (780) 908-9245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5004322/001 OC | Other | NY | ACADEMIC MEDICAL PROFESSIONALS INSURANCE EXCHANGE RISK RETENTION GROUP |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1205101573",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "WINDSOR PARK PLAZA (TOWER 1)",
"address_2": "11135 - 83RD AVENUE NW, SUITE 808",
"city": "EDMONTON",
"state": "ALBERTA",
"postal_code": "T6G2C6",
"telephone_number": "780-908-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W 145TH ST",
"address_2": "#4C4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100315302",
"telephone_number": "780-908-9245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "DAVID",
"middle_name": "WAI",
"name_prefix": "Dr.",
"credential": "M.D., C.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMIC MEDICAL PROFESSIONALS INSURANCE EXCHANGE RISK RETENTION GROUP",
"identifier": "5004322/001 OC",
"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 Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.