Ji Hyun Lim

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02831000 Issued in NJ

Practice address

77 Quaker Ridge Rd Ste 206
New Rochelle, NY 10804-2821

Phone

(914) 301-6305

NPI assigned

Jul 26, 2018

Last updated

Oct 23, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1508343120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WASHINGTON BLVD APT 2411",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102021",
            "telephone_number": "971-873-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 QUAKER RIDGE RD STE 206",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042821",
            "telephone_number": "914-301-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JI HYUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061535",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02831000",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Lieman, OTR/L
• Life Chiropractic P.C.
• Lorraine Lifumbe, RN
• Alexander Lileika
• Anthony Tan Lim, PT
• Laura Lima Cisneros
• Richard H Lin, PHARM D
• Tone Lindgren, MD
• Harrison Gregory Linsky, DDS, MD
• Connie Liotta, TEACHER OF SPECIAL E

• Dentist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.