Yun Suk Hong

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN 1695 Issued in HI

Practice address

1670 Makaloa St Ste 201
Honolulu, HI 96814-3232

Phone

(808) 979-6930

Fax

(808) 447-7736

NPI assigned

Dec 27, 2013

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Makaloa Medical Clinic Corp.

  • Nurse Practitioner
  • Honolulu, HI
  • NPI 1114799350
  NPD Authorized official

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1568883189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 MAKALOA ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143232",
            "telephone_number": "808-979-6930",
            "fax_number": "808-447-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 MAKALOA ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143232",
            "telephone_number": "808-979-6930",
            "fax_number": "808-447-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "YUN",
        "middle_name": "SUK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN 1695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363LF0000X",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Hong, M.D.
• Sara S Hong
• Steven M. Hong, MD
• Steven W. Hong, MD
• Travis Kwock Fai Hong, M.D.
• Yurim Hong
• Honnis Inc. (Professional Plaza Pharmacy)
• Honolulu Center for Physical Therapy LLC
• Honolulu Compounding Pharmacy Inc (Honolulu Compounding Pharmacy)
• Honolulu Dental Care, LLC (Honolulu Dental Care)

• Family Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.