SO YOUNG LIM NP
NPI 1316410467
Nurse Practitioner - Family in Bayside, NY

Active since January 10, 2019PECOS Enrolled
3501 202ND ST, BAYSIDE, NY 11361(718) 454-4356 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2020, Mar 7, 2019, Jan 10, 2019 (3 updates tracked since 2019).

About So Young Lim Np NPPES

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

SO YOUNG LIM NP (NPI 1316410467) is an individual family provider in Bayside, New York, licensed in New York (F343529) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316410467
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSO YOUNG LIMCredential: NP
Location Address3501 202ND STBayside, NY 11361-1117
Mailing Address130 Centre Ave Apt 5bNew Rochelle, NY 10805-2851 · (646) 345-2186
Sole ProprietorYes
Enumeration DateJanuary 10, 2019
Last NPPES UpdateFebruary 5, 20203 updates tracked since enumeration
NPI 1316410467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F343529
3501 202ND ST, Bayside, NY 11361

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

So Young Lim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11361 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 7

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

Family Medicine
3501 202ND ST
BAYSIDE, NY 11361
Family Medicine
3501 202ND ST
BAYSIDE, NY 11361
Clinic/Center (Primary Care)
3501 202ND ST
BAYSIDE, NY 11361
Internal Medicine (Geriatric Medicine)
3501 202ND ST
BAYSIDE, NY 11361
Family Medicine
3501 202ND ST
BAYSIDE, NY 11361
Nurse Practitioner (Adult Health)
3501 202ND ST
BAYSIDE, NY 11361
Internal Medicine
3501 202ND ST
BAYSIDE, NY 11361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316410467, enumerated as an "individual" on January 10, 2019.

The provider is located at 3501 202ND ST BAYSIDE, NY 11361 and the phone number is (718) 454-4356.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.