Active NPI
Joycelyn M Jurek MD LLC
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1922283928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD11923
- Legal business name
- JOYCELYN M JUREK MD LLC
- Practice address
- 1329 Lusitana St
Suite 704
Honolulu, HI 96813-2429 - Phone
- (808) 524-2100
- Fax
- (808) 534-0593
- NPI assigned
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joycelyn M Jurek, M.D.
- Title
- Physician
- Phone
- (808) 524-2100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD11923 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana St
Suite 704
Honolulu, HI 96813-2429
Mailing address
1329 Lusitana St
Suite 704
Honolulu, HI 96813-2429
Phone (808) 524-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50752703 | Medicaid | HI | |
| C0236897 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1329 Lusitana St
Ste 601
Honolulu, HI 96813
Phone (808) 521-9172
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1942231980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1922283928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 704",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-524-2100",
"fax_number": "808-534-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 704",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-524-2100",
"fax_number": "808-534-0593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOYCELYN M JUREK MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "JUREK",
"authorized_official_first_name": "JOYCELYN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "808-524-2100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD11923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50752703",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "C0236897",
"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 Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.