Individual provider 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
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5004322/001 OCOtherNYACADEMIC 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.

Verify at the official NPI Registry.