Active NPI
Ivy L Nip, M.D.
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1861584260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD9652
- Practice address
- 1380 Lusitana St Ste 707
Honolulu, HI 96813-2443 - Phone
- (808) 545-3538
- Fax
- (808) 545-3532
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 2, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD9652 | HI | Primary |
Addresses
Primary practice location
1380 Lusitana St Ste 707
Honolulu, HI 96813-2443
Mailing address
1380 Lusitana St Ste 707
Honolulu, HI 96813-2443
Phone (808) 545-3538
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08927501 | Medicaid | HI | |
| 0000223552 | Other | HI | HMSA |
Other names 1
- Ivy Nip Asano
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 |
|---|---|---|---|
| MD9652 | HI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1861584260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST STE 707",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132443",
"telephone_number": "808-545-3538",
"fax_number": "808-545-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST STE 707",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132443",
"telephone_number": "808-545-3538",
"fax_number": "808-545-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIP",
"first_name": "IVY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD9652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08927501",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000223552",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IVY",
"last_name": "ASANO",
"middle_name": "NIP",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.