Active NPI
Take Kolisi Naseri
- General Acute Care Hospital
- Pago Pago, AS
National Provider Identifier
1295913895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 2028-C
- Practice address
- 4553 Nuuuli Rd.
Pago Pago, AS 96799-4553 - Phone
- (684) 699-5118
- Fax
- (684) 699-5336
- NPI assigned
- Feb 6, 2008
- Last updated
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2028-C | AS | Primary |
Addresses
Primary practice location
4553 Nuuuli Rd.
Pago Pago, AS 96799-4553
Mailing address
4553 Nuuuli Rd.
Pago Pago, AS 96799-4553
Phone (684) 699-5118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2028-C | AS | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1295913895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4553 NUUULI RD.",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967994553",
"telephone_number": "684-699-5118",
"fax_number": "684-699-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4553 NUUULI RD.",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967994553",
"telephone_number": "684-699-5118",
"fax_number": "684-699-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASERI",
"first_name": "TAKE",
"middle_name": "KOLISI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AS",
"license": "2028-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pago Pago, AS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.