MEDICARE: MRS. JADE TIFFANY LAM NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	670202	NY
2	363LA2200X	Adult Health Nurse Practitioner	306563	NY

General Provider Information

NPI Number	:	1417398785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JADE TIFFANY LAM NP-C

Provider Business Mailing Address
First Line	:	2435 JEROME AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-6464
Country	:	US
Telephone Number	:	718-220-7677
Fax Number	:

Provider Business Practice Location Address
First Line	:	2435 JEROME AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-6464
Country	:	US
Telephone Number	:	718-220-7677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	07/15/2013

Similar Medicare Providers

1316123086 — NEW IMAGING & DIAGNOSTIC SERVICES, P.C.
Practice Location Address:

2400 JOHNSON AVE , 11 K
BRONX, NY
10463-6464

Practice Phone: 718-644-8081
Practice Fax:

1689828139 — MR. KEITH SCOTT LANDHERR OTR/L
Practice Location Address:

2400 JOHNSON AVE , #1-C
BRONX, NY
10463-6464

Practice Phone: 718-601-3629
Practice Fax: 718-601-3629

1922309525 — AURA KRAFT
Practice Location Address:

2400 JOHNSON AVE , APT 11B
BRONX, NY
10463-6464

Practice Phone: 347-427-7779
Practice Fax:

1912839192 — XAVIER KY JETER
Practice Location Address:

2855 UNIVERSITY AVE APT 6D
BRONX, NY
10468-2363

Practice Phone: 929-764-6354
Practice Fax:

1437082278 — ZAHRA SHOJAEI
Practice Location Address:

100 W KINGSBRIDGE RD
BRONX, NY
10468-3961

Practice Phone: 718-410-1500
Practice Fax:

1760286876 — MS. JACQUELYN ALEXA GATES
Practice Location Address:

130 W KINGSBRIDGE RD
BRONX, NY
10468-3904

Practice Phone: 718-584-9000
Practice Fax:

Directions to “ MRS. JADE TIFFANY LAM NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.