Active NPI
Jee Lim, D.M.D.
- Periodontics
- East Brunswick, NJ
National Provider Identifier
1245370972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22DI02168900
- Practice address
- 53 Brunswick Woods Dr
East Brunswick, NJ 08816-5601 - Phone
- (732) 967-9292
- Fax
- (732) 967-9290
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 22DI02168900 | NJ | Primary |
Addresses
Primary practice location
53 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Mailing address
53 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone (732) 967-9292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2421689 | Other | NJ | DELTA DENTAL |
| 1013 | Other | NJ | DELTAFLAGSHIP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02168900 | NJ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245370972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 BRUNSWICK WOODS DR",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165601",
"telephone_number": "732-967-9292",
"fax_number": "732-967-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 BRUNSWICK WOODS DR",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165601",
"telephone_number": "732-967-9292",
"fax_number": "732-967-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "JEE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22DI02168900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "2421689",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTAFLAGSHIP",
"identifier": "1013",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.