NPIMap

Individual provider Active NPI

Jihyeon Lim, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1710415997
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342834 Issued in NY
Practice address
1095 Flatbush Ave
Brooklyn, NY 11226
Phone
(718) 240-8800
NPI assigned
May 31, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342834 NY Primary

Addresses

Primary practice location

1095 Flatbush Ave
Brooklyn, NY 11226

Mailing address

1095 Flatbush Ave
Brooklyn, NY 11226-6141
Phone (718) 240-8800

Other practice location 1

311 Lowell St Apt 1102
Andover, MA 01810-4562
Phone (415) 209-3931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181221000319 NY Practitioner - Nurse Practitioner 0143571687 Reassigns benefits to 2 organizations
I20200303000257 NJ Practitioner - Nurse Practitioner 0143571687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Columbia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342834NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Family Care Center, Inc. CurrentSince Oct 27, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 9, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 9, 2024 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jan 1, 2020 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Oct 27, 2018 Accepting new patients
Brookdale Family Care Center, Inc. Past Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients

Locations

350 Engle St
Fl 4
Englewood, NJ 07631
Phone (201) 568-5250

400 Kelby St
Fl 7
Fort Lee, NJ 07024

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1095 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 240-5132

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jihyeon.lim.1@24719.direct.athenahealth.com
  • Direct secure messaging: jon9103@direct.nyp.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710415997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266141",
            "telephone_number": "718-240-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-240-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Lowell St Apt 1102",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018104562",
            "country_code": "US",
            "telephone_number": "415-209-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JIHYEON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.