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

Dr. Lydia Jane Lam, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1649542523

Dr. Lydia Jane Lam, DDS is an Oral Surgery in Staten Island, New York. Qualified in 2006, 20 years ago. Practices with Staten Island Oral and Maxillofacial Surgery, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

256 C Mason Ave 3rd Fl
Staten Island, NY 10305
Phone: (718) 226-1251
Fax: (718) 226-1252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 South Ave Ste 707, Staten Island, NY 10314-3784 — (718) 226-1251

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0552431 (NY)

Record details

NPI number1649542523
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 7, 2012
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

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

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Staten Island Oral And Maxillofacial Surgery — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Staten Island