Individual provider Active NPI

Jahyuk Jay Lim

  • Acupuncturist
  • Jamaica, NY
National Provider Identifier
1790194553
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005371 Issued in NY
Practice address
14843 Hillside Ave
Jamaica, NY 11435-3330
Phone
(917) 399-4386
NPI assigned
Aug 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 019614 NY
Acupuncturist 171100000X 005371 NY Primary

Addresses

Primary practice location

14843 Hillside Ave
Jamaica, NY 11435-3330

Mailing address

3520 147TH St
Apt # 10-D
Flushing, NY 11354-3765
Phone (917) 399-4386

Other practice location 1

8829 Francis Lewis Blvd
Queens Village, NY 11427-2243
Phone (917) 399-4386

Other practice location 2

21429 Jamaica Ave
Queens Village, NY 11428-1733
Phone (917) 399-4386

Other practice location 3

3520 147th St
Apt # 10-D
Flushing, NY 11354-3765
Phone (917) 399-4386

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

State licenses

LicenseStateTypeSpecialty
019614NYMDMassage Therapist
005371NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Day Acupuncture PC Acupuncturist CurrentSince Jun 5, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790194553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 147TH ST",
            "address_2": "APT # 10-D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543765",
            "telephone_number": "917-399-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "917-399-4386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8829 Francis Lewis Blvd",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114272243",
            "country_code": "US",
            "telephone_number": "917-399-4386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21429 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114281733",
            "country_code": "US",
            "telephone_number": "917-399-4386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3520 147th St",
            "address_2": "APT # 10-D",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113543765",
            "country_code": "US",
            "telephone_number": "917-399-4386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JAHYUK",
        "middle_name": "JAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019614",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.