{"npi":"1124475363","type":"NPI-1","status":"active","name":{"display":"Jeagwan Lim","other":[],"first":"JEAGWAN","last":"LIM"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"NY","license":"035534"}]},"addresses":[{"purpose":"LOCATION","street_1":"4199 MAIN ST STE 202B","city":"FLUSHING","state":"NY","postal_code":"113553821","country_code":"US","phone":"9293983120","fax":"8339850130"},{"purpose":"MAILING","street_1":"13620 MAPLE AVE STE 201C","city":"FLUSHING","state":"NY","postal_code":"113555167","country_code":"US","phone":"9293983120","fax":"8339850130"}],"license":{"state":"NY","number":"035534"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"05027858","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171006000577","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"NY","pac_id":"5991070534"}]},"enumeration_date":"2016-05-18","last_updated":"2024-04-26","_meta":{"source":"NPPES","snapshot_date":"2024-04-26","doc_url":"https://findmynpi.com/api"}}