Organization Active NPI

Roberto'S Group Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Honolulu, HI
National Provider Identifier
1255597514
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
ROBERTO'S GROUP INC.
Practice address
819 Moowaa St
Suite 114
Honolulu, HI 96817-4431
Phone
(808) 853-1688
Fax
(808) 853-1690
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Mr. Jorge Siu
Title
Ceo
Phone
(808) 853-1688

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Nursing Facility Supplies (DME) 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

819 Moowaa St
Suite 114
Honolulu, HI 96817-4431

Mailing address

819 Moowaa St
Suite #114
Honolulu, HI 96817-4431
Phone (808) 853-1688

Other identifiers 1

IdentifierTypeStateIssuer
632837MedicaidHI

National Provider Directory

National Provider Directory

Locations

819 Moowaa St
Ste 114
Honolulu, HI 96817
Phone (808) 853-1688

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1255597514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MOOWAA ST",
            "address_2": "SUITE #114",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174431",
            "telephone_number": "808-853-1688",
            "fax_number": "808-853-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MOOWAA ST",
            "address_2": "SUITE 114",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174431",
            "telephone_number": "808-853-1688",
            "fax_number": "808-853-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO'S GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "SIU",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-853-1688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632837",
            "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 Jan 9, 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.