TSZ HO DERRICK LUM FAMILY HEALTH NP, P.C.
NPI 1174221584
Clinic/Center - Primary Care in Staten Island, NY

Active since February 16, 2023
1424 RICHMOND AVE STE C, STATEN ISLAND, NY 10314(646) 763-4574 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2023, Feb 16, 2023 (2 updates tracked since 2023).

About Tsz Ho Derrick Lum Family Health Np, P.c. NPPES

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

TSZ HO DERRICK LUM FAMILY HEALTH NP, P.C. (NPI 1174221584) is a healthcare organization registered as a primary care in Staten Island, New York and active in the NPI registry since February 2023. The organization lists Tszhoderrick Lum, President, as its authorized official.

NPPES Registry Identity

NPI1174221584
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTSZ HO DERRICK LUM FAMILY HEALTH NP, P.C.
Location Address1424 RICHMOND AVE STE CStaten Island, NY 10314-1527
Mailing Address708 Bayside CtSouth Amboy, NJ 08879-1981 · (347) 987-1038
Organization SubpartNo
Authorized OfficialTszhoderrick LumPresident · (347) 987-1038
Enumeration DateFebruary 16, 2023
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
NPI 1174221584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1424 RICHMOND AVE STE C, Staten Island, NY 10314

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Adult Health)
1424 RICHMOND AVE STE C
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
1424 RICHMOND AVE STE C
STATEN ISLAND, NY 10314
Technician/Technologist (Optician)
1424 RICHMOND AVE STE C
STATEN ISLAND, NY 10314
Nurse Practitioner (Adult Health)
1424 RICHMOND AVE STE C
STATEN ISLAND, NY 10314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tsz Ho Derrick Lum Family Health Np, P.C.'s NPI number?

The NPI number for Tsz Ho Derrick Lum Family Health Np, P.C. is 1174221584. It was assigned to this organization in the NPPES registry on February 16, 2023.

Where is Tsz Ho Derrick Lum Family Health Np, P.C. located?

Tsz Ho Derrick Lum Family Health Np, P.C. is located at 1424 Richmond Ave Ste C, Staten Island, NY 10314. The listed phone number is (646) 763-4574.

What is Tsz Ho Derrick Lum Family Health Np, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Tsz Ho Derrick Lum Family Health Np, P.C. was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.