Doctor profile · Federal record
Dr. Derrick Tam, NP
Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · New York, NY
- NPI 1780042630
- Accepts Medicare
- 6 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
622 W 168Th St PH 5-505
New York, NY 100323720
(347) 466-3566 - Mailing address
-
9 Comstock Ave
Staten Island, NY 103141404
Credentials & registration
- NPI registered
- February 2016 — 10 yrs on file
- Profile last updated
- January 23, 2024
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363LA2100X — NUCC code
- State licenses (2)
- New York #F432636-01 · New York #705883
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780042630. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,287
Transactions
15
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alexion Pharmaceuticals, Inc. | 13 | $1,237.88 | |
| ABIOMED | 1 | $30.38 | |
| AstraZeneca Pharmaceuticals LP | 1 | $18.95 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Derrick Tam's medical specialty?
Dr. Derrick Tam practices Acute Care Nurse Practitioner in New York, NY.
Where does Dr. Derrick Tam practice?
Dr. Derrick Tam practices at 622 W 168Th St PH 5-505, New York, NY 100323720. Office phone: 3474663566.
What is Dr. Derrick Tam's NPI?
Dr. Derrick Tam's National Provider Identifier (NPI) is 1780042630, issued by NPPES.
Does Dr. Derrick Tam accept Medicare assignment?
Yes. Dr. Derrick Tam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.