Individual provider Active NPI

Joy Hermosa Pahang, RN, MSN, CCM

  • Case Management Registered Nurse
  • Ewa Beach, HI
National Provider Identifier
1568142016
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN-44758 Issued in HI
Practice address
91-1488 Pukanala St
Ewa Beach, HI 96706-4678
Phone
(808) 308-5465
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN-44758 HI Primary

Addresses

Primary practice location

91-1488 Pukanala St
Ewa Beach, HI 96706-4678

Mailing address

PO Box 970116
Waipahu, HI 96797-0116

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-44758HIMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Pahang, LLC CurrentSince Jul 23, 2023 Accepting new patients
Performance Physical Therapy LLC PastSince Jul 23, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1568142016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970116",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1488 PUKANALA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064678",
            "telephone_number": "808-308-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHANG",
        "first_name": "JOY",
        "middle_name": "HERMOSA",
        "credential": "RN, MSN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "HI",
            "license": "RN-44758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.