Organization Active NPI

Nephrology Consultants

  • Specialist
  • Honolulu, HI
National Provider Identifier
1124064621
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1785 Issued in HI
Legal business name
NEPHROLOGY CONSULTANTS
Practice address
1380 Lusitana St
Suite 814
Honolulu, HI 96813-2449
Phone
(808) 521-3802
Fax
(808) 521-1738
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eugene Wong, M.D.
Title
Physician
Phone
(808) 521-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1785 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 814
Honolulu, HI 96813-2449

Mailing address

1380 Lusitana St
Suite 814
Honolulu, HI 96813-2449
Phone (808) 521-3802

Other identifiers 2

IdentifierTypeStateIssuer
03139301MedicaidHI
C03481-3OtherHIHMSA

National Provider Directory

National Provider Directory
Tax ID family
Eugene G C Wong MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1380 Lusitana St
Ste 814
Honolulu, HI 96813
Phone (808) 521-3802

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1124064621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-521-3802",
            "fax_number": "808-521-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-521-3802",
            "fax_number": "808-521-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-521-3802",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03139301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "C03481-3",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.