Vicente M Lim, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA05886500 Issued in NJ

Practice address

301 Cox St
Roselle, NJ 07203-1703

Phone

(908) 241-7200

Fax

(908) 241-2025

NPI assigned

Sep 23, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/occupationalcenter/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Occupational Center of Union County, Inc

  • Community/Behavioral Health Agency
  • Roselle, NJ
  • NPI 1063543239

  Psychiatry

  NPD (past)
• Seacrest Medical Associates, P.a.

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1164489621
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275529356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VILLAGE GREEN CT",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791507",
            "telephone_number": "732-212-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 COX ST",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031703",
            "telephone_number": "908-241-7200",
            "fax_number": "908-241-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "VICENTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA05886500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6204406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soo J Kim
• Dinah Kofie
• Kapil Kundra, D.M.D
• Peter Lenchur, MD PHD
• Rebecca Lesperance
• Little Roots and Wings Social Emotional Learning LLC
• Stuart Martin Lonsk, O.D.
• Jiajun Lu, RPH
• Yamiry Marrero
• Christian McLean, COTA

• Psychiatry Physician in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.