Wellness Family Health NP, P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WELLNESS FAMILY HEALTH NP, P.C.

Practice address

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

Phone

(646) 763-4574

Fax

(718) 701-8103

NPI assigned

Jan 3, 2023

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

Family Nurse Practitioner

Phone

(646) 763-4574

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tszhoderrick Lum, DNP, NP-C

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1346657103
  Medicare reassignment NPD Authorized official
• Suqi Tang

  • Adult Health Nurse Practitioner
  • Staten Island, NY
  • NPI 1144146986
  NPD (past)
• Henry D Wu, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1932356219
  NPD (past)

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1841903192",
    "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",
            "fax_number": "718-701-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FAMILY HEALTH NP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "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": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "646-763-4574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04315519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moshe Weizberg, MD
• Monique T. Welbeck, NP
• John Welch
• Wellbeing by Valbona NP in Psychiatry and Family Health, PLLC
• Wellness by D LLC
• Joyce Wendell, LCSW
• Samantha Ann Werlick
• Debra J Werner, MD
• Paul Wertenteil
• Caryn Wesley

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.