Marni Lum Dezzani, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD10106 Issued in HI

Practice address

3150 Monsarrat Ave Ste 200
Honolulu, HI 96815-4488

Phone

(808) 735-5541

Fax

(808) 734-5923

NPI assigned

Feb 20, 2014

Last updated

Feb 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marni Dezzani Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JW RS Pediatrics LLC

  dba Oahu Pediatric Group

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1457181257
  NPD (past)
• Kahala Pediatrics, LLC

  • Specialist
  • Honolulu, HI
  • NPI 1457477010
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1245655794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 KANAKANUI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 MONSARRAT AVE STE 200",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154488",
            "telephone_number": "808-735-5541",
            "fax_number": "808-734-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM DEZZANI",
        "first_name": "MARNI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "HI",
            "license": "MD10106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNI",
            "last_name": "DEZZANI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tatiana Luke, APRN
• Teresita Anne Luke, COTA
• Timothy Luke, DC
• Wyland Luke, DC
• Natalia Lukey, M.ED.
• Amy Lum
• Brenden Kin Mun Lum, PTA
• Calbert M Lum, D.D.S.
• Celine Lum, DPT
• Chelsy Lum, BCBA, LBA

• Pediatric Adolescent Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatric Adolescent Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.