Organization Active NPI

OBGYN Specialists of Hawaii LLC

  • Obstetrics & Gynecology Physician
  • Aiea, HI
National Provider Identifier
1437676574
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17969 Issued in HI
Legal business name
OBGYN SPECIALISTS OF HAWAII LLC
Practice address
98-1079 Moanalua Rd Ste 560
Aiea, HI 96701-4716
Phone
(808) 487-0078
Fax
(808) 487-2853
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Stephen S Sung, MDNPI 1932494812
Title
MD/Owner
Phone
(808) 487-0078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 17969 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd Ste 560
Aiea, HI 96701-4716

Mailing address

98-1079 Moanalua Rd Ste 560
Aiea, HI 96701-4716
Phone (808) 487-0078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170927003618 HI Part B Supplier - Clinic/Group Practice 1850665977 Receives reassigned benefits from 1 practitioner
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437676574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 560",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014716",
            "telephone_number": "808-487-0078",
            "fax_number": "808-487-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 560",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014716",
            "telephone_number": "808-487-0078",
            "fax_number": "808-487-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN SPECIALISTS OF HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "808-487-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "17969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.