Organization Active NPI

Howard F. Neudorf, M.D.

  • Medical Specialty Clinic/Center
  • Ewa Beach, HI
National Provider Identifier
1578722245
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
7199 Issued in HI
Legal business name
HOWARD F. NEUDORF, M.D.
Practice address
91-2139 Fort Weaver Rd
Suite 213
Ewa Beach, HI 96706-3607
Phone
(808) 677-1912
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Howard NeudorfNPI 1740267145
Title
Physician
Phone
(808) 677-1912

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
Medical Specialty Clinic/Center 261QM2500X 7199 HI Primary

Addresses

Primary practice location

91-2139 Fort Weaver Rd
Suite 213
Ewa Beach, HI 96706-3607

Mailing address

94-830 Lelepua St Apt a
Waipahu, HI 96797-5124

Other identifiers 1

IdentifierTypeStateIssuer
00915101MedicaidHI

National Provider Directory

National Provider Directory

Locations

91-2139 Fort Weaver Rd
Ste 213
Ewa Beach, HI 96706
Phone (808) 671-8877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1578722245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-830 LELEPUA ST APT A",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2139 FORT WEAVER RD",
            "address_2": "SUITE 213",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063607",
            "telephone_number": "808-677-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD F. NEUDORF, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "NEUDORF",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-677-1912"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "7199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00915101",
            "state": "HI"
        }
    ],
    "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 Jun 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.

Verify at the official NPI Registry.