SANGJIN LIM D.O.
NPI 1063825792
Family Medicine - Sports Medicine in Glen Ridge, NJ

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
311 BAY AVE STE 102, GLEN RIDGE, NJ 07028(973) 798-4777(973) 680-7857 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2026, May 1, 2026, Mar 31, 2026 and 4 more (7 updates tracked since 2017).

About Sangjin Lim D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANGJIN LIM D.O. (NPI 1063825792) is an individual sports medicine provider in Glen Ridge, New Jersey, licensed in New Jersey (25MB11870000) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2014).

NPPES Registry Identity

NPI1063825792
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameSANGJIN LIMCredential: D.O.
Location Address311 BAY AVE STE 102Glen Ridge, NJ 07028-1621
Mailing Address311 Bay Ave Ste 102Glen Ridge, NJ 07028-1621 · (973) 798-4777 · Fax (973) 680-7857
Fax(973) 680-7857
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2014
Enumeration DateJune 10, 2014
Last NPPES UpdateMay 4, 20267 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1063825792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in NJ · 25MB11870000
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 25MB11870000 (NJ)
311 BAY AVE STE 102, Glen Ridge, NJ 07028

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sangjin Lim D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870837008
PECOS Enrollment IDI20191115000085, I20250821001191
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
654 services67 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
176 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
156 services115 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
155 services111 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
120 services76 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
87 services73 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Helen Hayes Hospital

Acute Care Hospitals · West Haverstraw, NY
OwnershipGovernment - State
CMS Certification Number330405
Location51 North Route 9WWest Haverstraw, NY 10993 · Rockland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
311 BAY AVE STE 102
GLEN RIDGE, NJ 07028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sangjin Lim's NPI number?

The NPI number for Sangjin Lim is 1063825792. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Sangjin Lim located?

Sangjin Lim practices at 311 Bay Ave Ste 102, Glen Ridge, NJ 07028. The listed phone number is (973) 798-4777.

What is Sangjin Lim's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Sangjin Lim enrolled in Medicare?

Yes. Sangjin Lim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sangjin Lim affiliated with any hospitals?

According to CMS data, Sangjin Lim is affiliated with Hackensack Meridian Health, Mountainside Medical and Helen Hayes Hospital.

When was this NPI record last updated?

The NPPES record for Sangjin Lim was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.