TSZ Ho Derrick Lum Family Health NP, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TSZ HO DERRICK LUM FAMILY HEALTH NP, P.C.

Practice address

1424 Richmond Ave Ste C
Staten Island, NY 10314-1527

Phone

(646) 763-4574

NPI assigned

Feb 16, 2023

Last updated

Apr 11, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tszhoderrick Lum, DNPNPI 1346657103

Title

President

Phone

(347) 987-1038

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tszhoderrick Lum, DNP, NP-C

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1346657103
  NPD Authorized official
• Jade Jiang, NP

  • Adult Health Nurse Practitioner
  • Staten Island, NY
  • NPI 1962255513
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1174221584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BAYSIDE CT",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791981",
            "telephone_number": "347-987-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 RICHMOND AVE STE C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141527",
            "telephone_number": "646-763-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSZ HO DERRICK LUM FAMILY HEALTH NP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "TSZHODERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-987-1038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tsitsagi, MD
• Viktoriya Tsoy, MS.SP.ED.
• Alexander Tsukerman, M.D.
• Galyna Tsybriy
• Yelena Tsygankova, MSED
• Tubman MD
• Inna Tubman, M.D.
• Alice Lavette Tucker
• Joseph Tucker, DDS
• Kristine Tucker

• Primary Care Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.