DR. TSZHODERRICK LUM DNP NP-C NPI 1346657103

NPI Information

  • NPI: 1346657103
  • Provider Name: DR. TSZHODERRICK LUM, DNP, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1424 RICHMOND AVE STE C
    STATEN ISLAND, NY
    ZIP 10314
  • Phone: (718) 701-8103

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NPI Details

DR. Tszhoderrick Lum, DNP, NP-C is a family nurse practitioner in Staten Island, NY with 10 years of experience. DR. Tszhoderrick Lum, DNP, NP-C NPI is 1346657103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1424 RICHMOND AVE STE C
STATEN ISLAND, NY
ZIP 10314-527
Phone: (718) 701-8103
Fax: (718) 701-8103

The NPI 1346657103 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2014 and was last updated on 4/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR192541MARYLANDNo
2363LF0000XNurse PractitionerFamilyRN1034607DISTRICT OF COLUMBIANo
3363LF0000XNurse PractitionerFamilyF338988NEW YORKYes
4363LF0000XNurse PractitionerFamily0024171969VIRGINIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104315519MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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