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WELLNESS FAMILY HEALTH NP, P.C.
NPI 1841903192
Nurse Practitioner - Family in Staten Island, NY

Active since January 03, 2023CLIA 33D2279435 · Waiver
1424 RICHMOND AVE, STE C, STATEN ISLAND, NY 10314(646) 763-4574(718) 701-8103 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, Jan 7, 2023 (3 updates tracked since 2023).

About Wellness Family Health Np, P.c. NPPES

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

WELLNESS FAMILY HEALTH NP, P.C. (NPI 1841903192) is a healthcare organization registered as a family in Staten Island, New York and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Tszhoderrick Lum, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1841903192
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWELLNESS 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
Phone(646) 763-4574
Fax(718) 701-8103
Organization SubpartNo
Authorized OfficialTszhoderrick LumFamily Nurse Practitioner · (646) 763-4574
Enumeration DateJanuary 3, 2023
Last NPPES UpdateApril 11, 20233 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1841903192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1424 RICHMOND AVE, STE C, Staten Island, NY 10314
Open in Google Maps ↗

Other Identifiers 1

Medicaid04315519NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2279435

Wellness Family Health Np, PC · Staten Island, NY
Active · expires Apr 2, 2027
CLIA Number33D2279435
Laboratory TypeNurse Practitioner
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorTszhoderrick Lum
Laboratory Phone(646) 763-4574
Laboratory LocationWellness Family Health Np, PC1424 Richmond Ave, Ste C, Staten Island, NY 10314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wellness Family Health Np, P.C.'s NPI number?

The NPI number for Wellness Family Health Np, P.C. is 1841903192. It was assigned to this organization in the NPPES registry on January 3, 2023.

Where is Wellness Family Health Np, P.C. located?

Wellness 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 Wellness Family Health Np, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Wellness Family Health Np, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2279435) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellness 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.