Organization Active NPI

Nina M Teruya MD LLC

  • Primary Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1669240545
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NINA M TERUYA MD LLC
Practice address
1319 Punahou St Ste 1050
Honolulu, HI 96826-1081
Phone
(808) 942-8144
Fax
(808) 955-3827
NPI assigned
Dec 19, 2023
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Dr. Nina Teruya, MDNPI 1104025816
Title
Owner
Phone
(808) 222-2234

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1319 Punahou St Ste 1050
Honolulu, HI 96826-1081

Mailing address

1319 Punahou St Ste 1050
Honolulu, HI 96826-1081
Phone (808) 942-8144

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2096673Nina M Teruya MD LLC1319 Punahou St Ste 1050-B, Honolulu, HI 96826Certificate of waiverMay 28, 2027

National Provider Directory

National Provider Directory

Locations

1319 Punahou St
Ste 1050
Honolulu, HI 96826
Phone (808) 942-8144

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": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1669240545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 1050",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261081",
            "telephone_number": "808-942-8144",
            "fax_number": "808-955-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 1050",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261081",
            "telephone_number": "808-942-8144",
            "fax_number": "808-955-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA M TERUYA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "TERUYA",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-222-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "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 Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.