Individual provider Active NPI

Nyok-Kheng Lim, MD

  • Internal Medicine Physician
  • Newtown Square, PA
National Provider Identifier
1952322356
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD027065E Issued in PA
Practice address
3855 W Chester Pike
Suite 300 Main Line Health Center
Newtown Square, PA 19073-2304
Phone
(484) 427-8000
Fax
(484) 427-8020
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD027065E PA
Internal Medicine Physician 207R00000X MD027065E PA Primary

Addresses

Primary practice location

3855 W Chester Pike
Suite 300 Main Line Health Center
Newtown Square, PA 19073-2304

Mailing address

3855 W Chester Pike
Suite 300 Main Line Health Center
Newtown Square, PA 19073-2304
Phone (484) 427-8000

Other identifiers 1

IdentifierTypeStateIssuer
0911961MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000150 PA Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Infectious DiseasePractitioner - PsychiatryPractitioner - Obstetrics/GynecologyPractitioner - Sports MedicinePractitioner - DermatologyPractitioner - Internal Medicine 6204737950 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Land Medical, Inc. CurrentSince Jun 8, 2014 Accepting new patients
Main Line Healthcare Internal Medicine PastSince Jul 1, 2008 Accepting new patients

Locations

9150 Marshall St
Ste 5
Philadelphia, PA 19114
Phone (215) 294-6790

5044 Spruce St
Philadelphia, PA 19139
Phone (215) 294-6790

4 Neshaminy Interplex Dr
Ste 101
Trevose, PA 19053
Phone (215) 294-6790

Organizations & group practices 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1952322356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 W CHESTER PIKE",
            "address_2": "SUITE 300 MAIN LINE HEALTH CENTER",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732304",
            "telephone_number": "484-427-8000",
            "fax_number": "484-427-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 W CHESTER PIKE",
            "address_2": "SUITE 300 MAIN LINE HEALTH CENTER",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732304",
            "telephone_number": "484-427-8000",
            "fax_number": "484-427-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "NYOK-KHENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD027065E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD027065E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911961",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.