Bruce Lum, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037741 Issued in NY

Practice address

3028 Mermaid Ave
Brooklyn, NY 11224-1806

Phone

(718) 996-7700

Fax

(718) 996-8180

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206144000000",
    "number": "1548259799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BEACH 145TH ST",
            "city": "NEPONSIT",
            "state": "NY",
            "postal_code": "116941143",
            "telephone_number": "718-996-7700",
            "fax_number": "718-996-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241806",
            "telephone_number": "718-996-7700",
            "fax_number": "718-996-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00809518",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seada Lulanaj
• Sandy Lulu, LMSW
• Lulus Healing Hands
• Angela Lum
• Ashia Nicole Lum
• Chin Yee Lum
• Diane Jean Lum, PHARM. D.
• Dorisca Luma
• Majorie Luma
• Palveen Lumba

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.