Active NPI
Benjamin L Kilinski, MSN
- Pediatric Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1750629556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2003
- Practice address
- 1803 Kamehameha IV Road
Honolulu, HI 96819 - Phone
- (808) 271-0362
- NPI assigned
- Jan 29, 2013
- Last updated
- Oct 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F382308 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 2003 | HI | Primary |
Addresses
Primary practice location
1803 Kamehameha IV Road
Honolulu, HI 96819
Mailing address
677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813-5419
Phone (808) 469-4910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03784989 | Medicaid | NY |
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003 | HI | MD | Pediatric Nurse Practitioner |
| F382308 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1750629556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 ALA MOANA BLVD",
"address_2": "STE 1001",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135419",
"telephone_number": "808-469-4910",
"fax_number": "808-536-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 KAMEHAMEHA IV ROAD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819",
"telephone_number": "808-271-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILINSKI",
"first_name": "BENJAMIN",
"middle_name": "L",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-29",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F382308",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "HI",
"license": "2003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03784989",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Claudia Agnes Kikuta, SLP
- Danielle Nicole Kila, RBT
- Kathleen Anjo Kilby
- John Arek Kileci, M.D.
- Leighanna Kilgore, LICSW
- Debra Lynne Kilkenny, PMHNP-C
- Jeffrey L Killeen, MD
- Kilohana Senior Enrichment Center (Kilohana Adult Day Care Center)
- Kilolani Counseling and Mindfulness Services, LLC
- Scott Kilousky, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.