Organization Active NPI

J Lim Dental PLLC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1952166779
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
J LIM DENTAL PLLC
Practice address
36 E 36TH St Ste 1K
New York, NY 10016-3441
Phone
(212) 532-8666
NPI assigned
Feb 20, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Dr. Jisu Lim, DDSNPI 1104278167
Title
Employer
Phone
(781) 201-0312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

36 E 36TH St Ste 1K
New York, NY 10016-3441

Mailing address

330 W 58TH St Apt 7M
New York, NY 10019-1815
Phone (781) 201-0312

National Provider Directory

National Provider Directory

Locations

36 E 36th St
Ste 1K
New York, NY 10016
Phone (212) 532-8666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1952166779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST APT 7M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191815",
            "telephone_number": "781-201-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E 36TH ST STE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163441",
            "telephone_number": "212-532-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J LIM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JISU",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "781-201-0312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.