WELLNESS FAMILY HEALTH NP, P.C.
NPI 1841903192
Nurse Practitioner - Family in Staten Island, NY

NPI Status: Active since January 03, 2023

Contact Information

1424 RICHMOND AVE, STE C
STATEN ISLAND, NY
ZIP 10314
Phone: (646) 763-4574
Fax: (718) 701-8103

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 33D2279435
  • CLIA Cert. Type: Other - NURSE PRACTITIONER
  • CLIA Exp. Date: 04-02-2027

About WELLNESS FAMILY HEALTH NP, P.C.

This page provides the complete NPI Profile along with additional information for Wellness Family Health Np, P.c., a provider established in Staten Island, New York operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1841903192 assigned on January 2023. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Tszhoderrick Lum Dnp (Family Nurse Practitioner)

NPI
1841903192
Provider Name
WELLNESS FAMILY HEALTH NP, P.C.
Entity Type
Organization
Location Address
1424 RICHMOND AVE, STE C STATEN ISLAND, NY 10314
Location Phone
(646) 763-4574
Location Fax
(718) 701-8103
Mailing Address
708 BAYSIDE CT SOUTH AMBOY, NJ 08879
Mailing Phone
(347) 987-1038
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2023
Last Update Date
04-11-2023
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A nurse practitioner (NP) like Wellness Family Health Np, P.c. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TSZHODERRICK LUM DNP

Authorized Official Title
FAMILY NURSE PRACTITIONER
Authorized Official Phone
(646) 763-4574

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
04315519MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2279435
Facility Type
Other - NURSE PRACTITIONER
Certificate Effective Date
April 03, 2025
Certificate Expiration Date
April 02, 2027
Laboratory Director
TSZHODERRICK LUM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellness Family Health Np, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841903192
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28811806118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 8 + 0 + 6 + 1 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1841903192 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841903192, enumerated in the NPI registry as an "organization" on January 03, 2023

The provider is located at 1424 Richmond Ave, Ste C Staten Island, Ny 10314 and the phone number is (646) 763-4574

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 33D2279435 for a "other - nurse practitioner" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 03, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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