Active NPI
Island Urology Honolulu LLC
- Urology Physician
- Honolulu, HI
National Provider Identifier
1962683052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ISLAND UROLOGY HONOLULU LLC
- Practice address
- 1329 Lusitana St
Suite 602
Honolulu, HI 96813-2429 - Phone
- (808) 522-5055
- Fax
- (808) 522-5333
- NPI assigned
- Nov 17, 2007
- 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
- Ms. Marilynn Y Hata, MBA
- Title
- Administrator
- Phone
- (808) 522-5055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1329 Lusitana St
Suite 602
Honolulu, HI 96813-2429
Mailing address
1329 Lusitana St
Suite 602
Honolulu, HI 96813-2429
Phone (808) 522-5055
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260230400000",
"number": "1962683052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 602",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-522-5055",
"fax_number": "808-522-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 602",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-522-5055",
"fax_number": "808-522-5333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND UROLOGY HONOLULU LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-17",
"last_updated": "2009-12-08",
"status": "A",
"authorized_official_last_name": "HATA",
"authorized_official_first_name": "MARILYNN",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "808-522-5055",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Island Speech Therapy, LLC
- Island Spine and Health LLC
- Island Surgical Specialists, LLC (Michael Krishna Rao, M.D.)
- Island Urgent Care LLC
- Island Urgent Care Waikiki LLC
- Island Urology Oahu LLC
- Island Wellness & Health Inc
- Island Wellness Center, Inc.
- Islandmed Clinic, LLC
- Islands Emergency Medical Service Hawaii, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.