TAE JOEN LIM MASSAGE THERAPIST
NPI 1114527025
Massage Therapist in Stony Brook, NY

Active since October 29, 2020
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790(917) 563-1824 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tae Joen Lim Massage Therapist NPPES

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

TAE JOEN LIM MASSAGE THERAPIST (NPI 1114527025) is an individual massage therapist in Stony Brook, New York, licensed in New York (027052) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1114527025
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameTAE JOEN LIMCredential: MASSAGE THERAPIST
Location Address215 HALLOCK RD STE 6AStony Brook, NY 11790-3077
Mailing Address215 Hallock Rd Ste 6aStony Brook, NY 11790-3077 · (917) 563-1824
Sole ProprietorNo
Enumeration DateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
NPI 1114527025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NY · 027052
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
215 HALLOCK RD STE 6A, Stony Brook, NY 11790

Other Providers at the Same Location NPPES 8

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

Acupuncturist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Acupuncturist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Nurse Practitioner (Acute Care)
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Massage Therapist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Acupuncturist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Acupuncturist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Massage Therapist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Massage Therapist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790

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 Tae Joen Lim's NPI number?

The NPI number for Tae Joen Lim is 1114527025. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Tae Joen Lim located?

Tae Joen Lim practices at 215 Hallock Rd Ste 6A, Stony Brook, NY 11790. The listed phone number is (917) 563-1824.

What is Tae Joen Lim's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Tae Joen Lim was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.