Samuel W Lim, M.D.
Psychiatry & Neurology, Psychiatry in Glen Oaks, NY. Individual provider (NPI-1).
NPI number1124419239
StatusActive
Last updated in NPPESMay 31, 2019
Details
- NPI
- 1124419239
- Entity type
- Individual (NPI-1)
- Name
- Samuel W Lim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2015
- Last updated
- May 31, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 296033 | NY | Yes |
Practice location
7559 263rd StGlen Oaks, NY 11004-1150
Phone 718-470-8300 · Fax 718-470-3629
Mailing address
7559 263rd StGlen Oaks, NY 11004-1150
Phone 718-470-8005 · Fax 718-962-7717
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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