Individual provider Active NPI

Aeran Song

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1972495539
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07250712 Issued in HI
Practice address
1401 S Beretania St Ste 302
Honolulu, HI 96814-1872
Phone
(508) 654-9327
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07250712 HI Primary

Addresses

Primary practice location

1401 S Beretania St Ste 302
Honolulu, HI 96814-1872

Mailing address

1401 S Beretania St Ste 302
Honolulu, HI 96814-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313000606 HI Practitioner - Nurse Practitioner 5991288342 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 S Beretania St
Suite 320
Honolulu, HI 96814-1872
Phone (508) 654-9327

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F07250712HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Health Hawaii LLC CurrentSince Oct 12, 2025 Accepting new patients
Jeong H Kim, MD, PLLC PastSince May 12, 2016 Accepting new patients

Locations

1401 S Beretania St
Ste 302
Honolulu, HI 96814
Phone (508) 654-9327

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1972495539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141872",
            "telephone_number": "508-654-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "AERAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "F07250712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.