Henry Lam

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F340161-1 Issued in NY

Practice address

97 Mastic Blvd W
Shirley, NY 11967-2240

Phone

(347) 788-8698

NPI assigned

Jul 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1861845901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MASTIC BLVD W",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672240",
            "telephone_number": "347-788-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MASTIC BLVD W",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672240",
            "telephone_number": "347-788-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "595397-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340161-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Kops, RN
• Courtney Kruk
• Kumar S Mandal MD PC
• Neeru Kumar, M.D.
• Sandra Kurschner, LPN
• Nicole Ann Lamanna-Baker
• Alicia Lamattina
• Deseree A Lamberti, RN
• Jacqueline Lamonica, LMSW
• Alanna Lardaro, LMT

• Family Nurse Practitioner in Shirley, NY
• Providers in Shirley, 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 Jul 13, 2016; 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.