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

Nicole Marie Lum, MD

Individual provider Internal Medicine Physician · NPI 1740712751

Nicole Marie Lum, MD is an Internal Medicine in East Setauket, New York. Qualified in 2017, 9 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 N Belle Mead Rd
East Setauket, NY 11733-3483
Phone: (631) 444-4630
Fax: (631) 444-4652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Suny Stony Brook Hospital 101 Nicolls Rd, Stony Brook, NY 11794-0001 — (631) 444-2058

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 305979 (NY)

Record details

NPI number1740712751
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in East Setauket