Sangjin Lim, DO
Family Medicine, Sports Medicine in Glen Ridge, New Jersey
1063825792- Practice location
- 311 Bay Ave Ste 102, Glen Ridge, NJ 07028-1621
- Phone
- 973-798-4777
- Fax
- 973-680-7857
- Last updated
- May 4, 2026
Sangjin Lim is a Family Medicine, Sports Medicine based in Glen Ridge, NJ. Sangjin Lim practices in Glen Ridge, NJ and has the professional credentials of DO. The NPI Number for Sangjin Lim is 1063825792 and holds a License No. 25MB11870000 (NJ). The current practice location address for Sangjin Lim is 311 Bay Ave Ste 102, Glen Ridge, NJ 07028-1621 and can be reached out via phone at 973-798-4777 and via fax at 973-680-7857.
Provider Profile Details
- NPI Number
- 1063825792
- Provider Name
- Sangjin Lim
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 311 Bay Ave Ste 102, Glen Ridge, NJ 07028-1621
- Phone Number
- 973-798-4777
- Fax Number
- 973-680-7857
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2014
- Last Update Date
- May 4, 2026
- Certification Date
- May 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 311 Bay Ave Ste 102
Glen Ridge, NJ 07028-1621 - City
- Glen Ridge
- State
- New Jersey
- Zip
- 07028-1621
- Phone Number
- 973-798-4777
- Fax Number
- 973-680-7857
Provider Business Mailing Address Details
- Address
- 311 Bay Ave Ste 102
Glen Ridge, NJ 07028-1621 - City
- Glen Ridge
- State
- NJ
- Zip
- 07028-1621
- Phone Number
- 973-798-4777
- Fax Number
- 973-680-7857
License Information
- License Number (1)
- 25MB11870000
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine, Sports Medicine · 207QS0010X · Primary
- License Number (2)
- 25MB11870000
- License State (2)
- NJ
- Taxonomy (2)
- Neuromusculoskeletal Medicine & OMM · 204D00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sangjin Lim, DO?
The NPI number of Sangjin Lim, DO is 1063825792. It was assigned on June 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Sangjin Lim, DO?
Sangjin Lim, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in NJ under license number 25MB11870000.
Where does Sangjin Lim, DO practice?
The practice location is 311 Bay Ave Ste 102, Glen Ridge, NJ 07028-1621. The office can be reached at 973-798-4777 (phone) or 973-680-7857 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063825792 directly on the NPPES registry website.