Organization Active NPI

Roland C K NG MD Inc

  • Nephrology Physician
  • Honolulu, HI
National Provider Identifier
1801892039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-4460 Issued in HI
Legal business name
ROLAND C K NG MD INC
Practice address
321 N Kuakini St
Ste 407
Honolulu, HI 96817-2360
Phone
(808) 521-1818
Fax
(808) 537-1480
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roland CK NG, MDNPI 1528030293
Title
President
Phone
(808) 521-1818

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X MD-4460 HI Primary

Addresses

Primary practice location

321 N Kuakini St
Ste 407
Honolulu, HI 96817-2360

Mailing address

321 N Kuakini St
Ste 407
Honolulu, HI 96817-2360
Phone (808) 521-1818

Other identifiers 3

IdentifierTypeStateIssuer
B001090-6OtherHIHMSA
0I047101MedicaidHI
A001090-8OtherHIHMSA

National Provider Directory

National Provider Directory

Locations

321 N Kuakini St
Ste 407
Honolulu, HI 96817
Phone (808) 521-1818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801892039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "STE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172360",
            "telephone_number": "808-521-1818",
            "fax_number": "808-537-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "STE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172360",
            "telephone_number": "808-521-1818",
            "fax_number": "808-537-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND C K NG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "CK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-521-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-4460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B001090-6",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0I047101",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A001090-8",
            "state": "HI"
        }
    ],
    "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 Aug 22, 2020; 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.