Individual provider Active NPI

Jee Lim, D.M.D.

  • Periodontics
  • East Brunswick, NJ
National Provider Identifier
1245370972
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI02168900 Issued in NJ
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2421689OtherNJDELTA DENTAL
1013OtherNJDELTAFLAGSHIP

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

LicenseStateTypeSpecialty
22DI02168900NJMDPeriodontist

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.

Verify at the official NPI Registry.