MARY JANG FAMILY PRACTICE
NPI 1235574419
Nurse Practitioner - Family in Honolulu, HI
About Mary Jang Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JANG FAMILY PRACTICE (NPI 1235574419) is a healthcare organization registered as a family in Honolulu, Hawaii and active in the NPI registry since May 2013. The organization lists Mary Inkyeong Jang, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Jang Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Jang Family Practice, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mauna Kea Healing Center,llc's NPI number?
The NPI number for Mauna Kea Healing Center,llc is 1235574419. It was assigned to this organization in the NPPES registry on May 1, 2013. The provider is also known as Mary Jang Family Practice.
Where is Mauna Kea Healing Center,llc located?
Mauna Kea Healing Center,llc is located at 1451 S King St Suite 402, Honolulu, HI 96814. The listed phone number is (808) 941-7799.
What is Mauna Kea Healing Center,llc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mauna Kea Healing Center,llc enrolled in Medicare?
Yes. Mauna Kea Healing Center,llc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mauna Kea Healing Center,llc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mauna Kea Healing Center,llc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mauna Kea Healing Center,llc was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Jang Family Practice · NPI 1235574419
Family organization in Honolulu, Hawaii. Organization record, active in the CMS NPPES registry since May 1, 2013.
## Identity
- **NPI:** 1235574419 (Entity type: Organization)
- **Enumerated:** May 1, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Mauna Kea Healing Center,llc
- **Organization subpart:** No
- **Authorized official:** Mary Jang, MANAGER
## Practice location
- **Address:** 1451 S KING ST, SUITE 402, Honolulu, HI 96814-2506
- **Phone:** (808) 941-7799
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1235574419) · Data from the CMS NPPES public registry.