Active NPI
Justine Alim, MD, MBA
- Neonatal-Perinatal Medicine Physician
- Tampa, FL
National Provider Identifier
1720518905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- ME140692
- Practice address
- 3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6308 - Phone
- (813) 879-4730
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME140692 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME140692 | FL | Primary |
Addresses
Primary practice location
3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6308
Mailing address
3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6308
Other practice location 1
500 7th Ave S
St Petersburg, FL 33701-4820
Phone (323) 204-8579
Other practice location 2
1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140692 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1720518905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076308",
"telephone_number": "813-879-4730"
}
],
"practiceLocations": [
{
"address_1": "500 7th Ave S",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337014820",
"country_code": "US",
"telephone_number": "323-204-8579",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 State Route 33",
"address_purpose": "LOCATION",
"city": "Neptune",
"state": "NJ",
"postal_code": "077534859",
"country_code": "US",
"telephone_number": "732-776-4267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALIM",
"first_name": "JUSTINE",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME140692",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME140692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.