Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WELLNESS FAMILY HEALTH NP, P.C.
Active
Organization
WELLNESS FAMILY HEALTH NP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TSZHODERRICK LUM DNP (FAMILY NURSE PRACTITIONER)
(646) 763-4574
Entity
Organization
Contact information
Practice address
1424 RICHMOND AVE, STE C, STATEN ISLAND, NY 10314-1527
(646) 763-4574
(718) 701-8103
Mailing address
708 BAYSIDE CT, SOUTH AMBOY, NJ 08879-1981
(347) 987-1038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04315519
—
NY
Enumeration date
01/03/2023
Last updated
04/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up