MEDICARE: CHERIE NG PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	AMD-1502	HI

General Provider Information

NPI Number	:	1861226193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERIE NG PA

Provider Business Mailing Address
First Line	:	45-955 KAMEHAMEHA HWY STE 305
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-3292
Country	:	US
Telephone Number	:	808-234-6383
Fax Number	:	808-353-0551

Provider Business Practice Location Address
First Line	:	45-955 KAMEHAMEHA HWY STE 305
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-3292
Country	:	US
Telephone Number	:	808-234-6383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2024
Last Update Date	:	03/05/2026

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Directions to “ CHERIE NG PA” Practice Location

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