MEDICARE: ESTEE LIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist
2	103K00000X	Behavior Analyst	1-21-56304	NJ

General Provider Information

NPI Number	:	1366855660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTEE LIM

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 HALF MILE RD STE 200
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701-6749
Country	:	US
Telephone Number	:	508-478-0207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	03/23/2022

Similar Medicare Providers

1972204139 — MATTHEW IACOVIELLO
Practice Location Address:

125 HALF MILE RD STE 200
RED BANK, NJ
07701-6749

Practice Phone: 908-902-8270
Practice Fax:

1083572978 — TANIA CAROLINA ARGUETA ARGUETA
Practice Location Address:

125 HALF MILE RD STE 200
RED BANK, NJ
07701-6749

Practice Phone: 855-832-6727
Practice Fax:

1114169034 — LIFE ABLED LLC
Practice Location Address:

125 HALF MILE RD , SUITE 200
RED BANK, NJ
07701-6749

Practice Phone: 732-444-6333
Practice Fax: 480-393-5688

1053640219 — NURSELINE HEALTHCARE INC
Practice Location Address:

125 HALF MILE RD , SUITE 200
RED BANK, NJ
07701-6749

Practice Phone: 732-462-4400
Practice Fax: 732-462-4320

1396189312 — JENNIFER KAREN GAMBINO
Practice Location Address:

125 HALF MILE RD
RED BANK, NJ
07701-6749

Practice Phone: 855-832-6727
Practice Fax:

1922419092 — DR. HUMBERTO FONG DPT
Practice Location Address:

125 HALF MILE RD , SUITE 200
RED BANK, NJ
07701-6749

Practice Phone: 732-337-6492
Practice Fax:

Directions to “ ESTEE LIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.