Active NPI
Randolph Kai Ming Wong, M.D.
- Plastic and Reconstructive Surgery Physician
- Honolulu, HI
National Provider Identifier
1730277377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD-7302
- Practice address
- 1100 Ward Ave
Ste 808
Honolulu, HI 96814-1600 - Phone
- (808) 792-6262
- Fax
- (808) 792-6263
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD-7302 | HI | Primary |
Addresses
Primary practice location
1100 Ward Ave
Ste 808
Honolulu, HI 96814-1600
Mailing address
PO Box 235627
Honolulu, HI 96823-3510
Phone (808) 792-6262
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-7302 | HI | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1730277377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235627",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968233510",
"telephone_number": "808-792-6262",
"fax_number": "808-792-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WARD AVE",
"address_2": "STE 808",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141600",
"telephone_number": "808-792-6262",
"fax_number": "808-792-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "RANDOLPH",
"middle_name": "KAI MING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "HI",
"license": "MD-7302",
"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 Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.