Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sangjin Lim, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1063825792

Sangjin Lim, DO is a Sports Medicine in Glen Ridge, New Jersey. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2014, 12 years ago. Practices with Crystal Run Healthcare Physicians LLP, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
12
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
NJ
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

311 Bay Ave Ste 102
Glen Ridge, NJ 07028-1621
Phone: (973) 798-4777
Fax: (973) 680-7857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 25MB11870000 (NJ)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 25MB11870000 (NJ)

Record details

NPI number1063825792
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 10, 2014
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address311 Bay Ave Ste 102, Glen Ridge, NJ 07028-1621

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2014 (12 years in practice)
Group practice Crystal Run Healthcare Physicians Llp — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare