Ian Christopher Lim

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01306900 Issued in NJ

Practice address

33 Mardor Ave
Hammonton, NJ 08037-1968

Phone

(609) 481-5915

NPI assigned

Apr 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1497336648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MARDOR AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371968",
            "telephone_number": "609-481-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MARDOR AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371968",
            "telephone_number": "609-481-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "IAN",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR14876900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01306900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Henry Lelache
• Ashlie Ann Lemunyon, CMA
• Thomas William Lepre
• Benjamin L Liberatore, M.D.
• Liberty Dialysis - Hammonton LLC
• Ricky Lim, DDS
• Lisa A.NN Lindquist, DO
• Anthony Lionetti, MD
• Little Waves Speech & Aac Therapy, LLC
• John Lloyd Jr.

• Nurse Practitioner in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.