NPIMap

Organization Active NPI

Waiho Lum MD PLLC

Doing business as Forest Urgent Care

  • Urgent Care Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1447455589
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
202905 Issued in NY
Legal business name
WAIHO LUM MD PLLC
Doing business as
Forest Urgent Care
Practice address
11201 75TH Ave
Forest Hills, NY 11375-5633
Phone
(718) 268-6808
Fax
(718) 268-6858
NPI assigned
Jun 19, 2007
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Dr. Waiho Lum, MDNPI 1609837384
Title
Manager
Phone
(212) 734-6621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 202905 NY Primary

Addresses

Primary practice location

11201 75TH Ave
Forest Hills, NY 11375-5633

Mailing address

11201 75TH Ave
Forest Hills, NY 11375-5633
Phone (718) 268-6808

Other names 1

  • Forest Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070816000095 NY Part B Supplier - Clinic/Group Practice 1557453834 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY; Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

10810 72nd Ave
Ste 3A
Forest Hills, NY 11375
Phone (718) 268-6808

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1447455589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 75TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755633",
            "telephone_number": "718-268-6808",
            "fax_number": "718-268-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 75TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755633",
            "telephone_number": "718-268-6808",
            "fax_number": "718-268-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIHO LUM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "WAIHO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "202905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.