ROBERT JOSEPH LUM
NPI 1104641232
Physician Assistant in Bay Shore, NY

Q: What is Robert Lum's NPI number?

The NPI number for Robert Lum is 1104641232. It was assigned to this individual provider in the NPPES registry on November 22, 2024.

Q: What is Robert Lum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Lum was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2024PECOS EnrolledAccepts Medicare Assignment

301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Nov 22, 2024 (2 updates tracked since 2024).

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About Robert Joseph Lum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT JOSEPH LUM (NPI 1104641232) is an individual physician assistant in Bay Shore, New York and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104641232

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameROBERT JOSEPH LUM

Location Address301 E MAIN STBay Shore, NY 11706-8408

Mailing Address74 Waterman CtBabylon, NY 11702-2041 · (631) 357-0089

Phone(631) 968-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 22, 2024

Last NPPES UpdateApril 3, 20252 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1104641232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

301 E MAIN ST, Bay Shore, NY 11706

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Joseph Lum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052839487

PECOS Enrollment IDI20250519002920

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330043

Location301 East Main StreetBay Shore, NY 11706 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EHAB SABRY HANNA M.D.

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