NPIMap

Organization Active NPI

Queen's Development Corporation & Subsidiaries

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1598320509
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
Practice address
550 S Beretania St Ste 503
Honolulu, HI 96813-2496
Phone
(808) 691-4600
NPI assigned
May 6, 2019
Last updated
May 6, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Katrina Mateo
Title
Administrative Secretary
Phone
(808) 691-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

550 S Beretania St Ste 503
Honolulu, HI 96813-2496

Mailing address

1301 Punchbowl St # 208
Honolulu, HI 96813-2402
Phone (808) 691-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071030000445 HI Part B Supplier - Clinic/Group Practice 7810912292 Receives reassigned benefits from 26 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Haleiwa, HI; Honolulu, HI; Kapolei, HI; Mililani, HI

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Queens Development Corp

Locations

1301 Punchbowl St
#208
Honolulu, HI 96813

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": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1598320509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST # 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-691-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-691-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "MATEO",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY",
        "authorized_official_telephone_number": "808-691-4600"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.