Organization Active NPI

Island Urology Honolulu LLC

  • Urology Physician
  • Honolulu, HI
National Provider Identifier
1962683052
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Dec 8, 2009

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.