Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Tam

Individual provider Physician Assistant · NPI 1568865665

Derek Tam is a Physician Assistant in Flushing, New York. Qualified in 2014, 12 years ago. Practices with Excel Urgent Care of Astoria PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

14202 58th Rd
Flushing, NY 11355-5309
Phone: (646) 283-9356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018003 (NY)

Record details

NPI number1568865665
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 2, 2014
Last updated in NPPESOctober 2, 2014
Mailing address14202 58th Rd, Flushing, NY 11355-5309

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Excel Urgent Care Of Astoria Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Flushing