Organization Active NPI

Vicente D Lim PA

  • Surgery Physician
  • Bayonne, NJ
National Provider Identifier
1801053087
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MAO2714800 Issued in NJ
Legal business name
VICENTE D LIM PA
Practice address
1039 Avenue C
Bayonne, NJ 07002-3217
Phone
(201) 437-9955
Fax
(201) 437-5553
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mrs. Delia L Lim, RN
Title
Office Manager
Phone
(973) 226-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 25MAO2714800 NJ Primary

Addresses

Primary practice location

1039 Avenue C
Bayonne, NJ 07002-3217

Mailing address

3 Hamilton Dr East
North Caldwell, NJ 07006-4602
Phone (973) 226-5779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1801053087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HAMILTON DR EAST",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064602",
            "telephone_number": "973-226-5779",
            "fax_number": "973-226-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023217",
            "telephone_number": "201-437-9955",
            "fax_number": "201-437-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE D LIM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DELIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-226-5780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MAO2714800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.