Provider Demographics
NPI:1548366487
Name:LIM, STEVE S (MD)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:S
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-0313
Mailing Address - Country:US
Mailing Address - Phone:973-989-5270
Mailing Address - Fax:973-989-5274
Practice Address - Street 1:400 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-2043
Practice Address - Country:US
Practice Address - Phone:973-989-5270
Practice Address - Fax:973-989-5274
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2010-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA070619208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8592705Medicaid
NJH17506Medicare UPIN
NJ8592705Medicaid