Fidel L Lim Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04954300 Issued in NJ

Practice address

119 Ocean Ave
Jersey City, NJ 07305-2500

Phone

(201) 200-2626

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Doctor'S Medical Clinic PA

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1528108560
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1962548727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 OCEAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052500",
            "telephone_number": "201-200-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OCEAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052500",
            "telephone_number": "201-200-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "FIDEL",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04954300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3953700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifesupport DME
• Liftup Livewell LLC
• Lighthouse Supportive Living LLC
• Brianna Nicole Liguori, AGNP
• Lily W. Gonzalez, M.D. PA.
• Hong Ran Christina Lim
• Cheng Lin, MD
• Gloria Lin, MD
• Xiaokun Lin
• Yuhlin Lin, MD

• Internal Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.