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

Dr. Tszhoderrick Lum, DNP, NP-C

Individual provider Family Nurse Practitioner · NPI 1346657103

Dr. Tszhoderrick Lum, DNP, NP-C is a Nurse Practitioner in Staten Island, New York. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in District of Columbia, Maryland, New York and Virginia.

Years since qualifying
11
Licensed in
DC, MD, NY, VA
In the registry since
2014
Specialties on file
4
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1424 Richmond Ave Ste C
Staten Island, NY 10314-1527
Phone: (718) 701-8103
Fax: (718) 701-8103
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F338988 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R192541 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN1034607 (DC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024171969 (VA)

Record details

NPI number1346657103
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , NP-C
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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