So Young Lim, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F343529 Issued in NY

Practice address

3501 202ND St
Bayside, NY 11361-1117

Phone

(718) 454-4356

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Nodar Janas MD PC

  • Internal Medicine Physician
  • Bayside, NY
  • NPI 1366945339
  Medicare reassignment NPD
• Ny Priority Medical Care PLLC

  • Family Medicine Physician
  • Bayside, NY
  • NPI 1144506056
  Medicare reassignment NPD

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1316410467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTRE AVE APT 5B",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052851",
            "telephone_number": "646-345-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611117",
            "telephone_number": "718-454-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SO YOUNG",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifespan Wellness Marriage & Family Therapy PLLC
• Lifespire, Inc.
• Alice H Lim
• Ji Hong Lim
• Ji Sook Lim, LMSW
• Andrew Lin
• Jason Lin, DDS
• Samuel Lin, P.T.
• Gabriella Linfante
• Ruta Lingis, RPH

• Family Nurse Practitioner in Bayside, NY
• Providers in Bayside, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.