JJTM LLC NPI 1932366606

NPI Information

NPI: 1932366606
Provider Name: JJTM LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1301 PUNCHBOWL ST
HONOLULU, HI
ZIP 96813
Phone: (808) 547-4771
Get Directions

JJTM LLC is a radiation oncology radiology in Honolulu, HI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. JJTM LLC NPI is 1932366606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 PUNCHBOWL ST
HONOLULU, HI
ZIP 96813-402
Phone: (808) 547-4771
Fax: (808) 545-8577

The provider's authorized official is Scott D. M. Moon .
The authorized official title is Member/manager and has the following contact phone number (808) 295-5566.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 11/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	7901	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	073512-08	MEDICAID	HAWAII
2	F95536(Q)	OTHER		HMSA
3	073512-06	MEDICAID	HAWAII
4	073512-05	MEDICAID	HAWAII
5	56652	MEDICARE PIN	HAWAII
6	F37086	MEDICARE UPIN
7	073512-07	MEDICAID	HAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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