JUDD BOLOKER M.D.
NPI 1255334579
Pediatrics - Neonatal-Perinatal Medicine in Honolulu, HI
NPI Status: Active since May 31, 2005
Contact Information
3288 MOANALUA RD
HONOLULU, HI
ZIP 96819
Phone: (808) 432-0000
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About JUDD BOLOKER
This page provides the complete NPI Profile along with additional information for Judd Boloker, a pediatrician established in Honolulu, Hawaii with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1255334579 assigned on May 2005. The practitioner's primary taxonomy code is 2080N0001X with license number MD-15619 (HI). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1255334579
- Provider Name
- JUDD BOLOKER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3288 MOANALUA RD HONOLULU, HI 96819
- Location Phone
- (808) 432-0000
- Mailing Address
- 3288 MOANALUA RD HONOLULU, HI 96819
- Mailing Phone
- (808) 432-0000
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2005
- Last Update Date
- 05-27-2021
- Code Navigator
A pediatrician like Judd Boloker is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD-15619
- License State
- HI
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | MA076064 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP HI Bronze 6000/65 Plus CAM - HMO
- KP HI Gold 0/40 Plus CAM - HMO
- KP HI Gold 1000 Ded/250 Rx Ded - HMO
- KP HI Platinum 0/5 Plus CAM - HMO
- KP HI Silver 3000 Ded/600 Rx Ded Plus CAM - HMO
- KP HI Silver 4000 Ded/600 Rx Ded - HMO
- KP HI Standard Bronze 7500/50 - HMO
- KP HI Standard Gold 1500/30 - HMO
- KP HI Standard Platinum 0/10 - HMO
- KP HI Standard Silver 5000/40 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0026735 | MEDICAID (05) | NJ |
Medicare Participation & PECOS Enrollment Status
Judd Boloker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for JUDD BOLOKER M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 3 | 4 | 5 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 3 | 8 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 3 + 8 + 5 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1255334579 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750347860 | TERRY WHITE MD Individual | Obstetrics & Gynecology | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1255385506 | CHRISTINE M KING APRN Individual | Nurse Practitioner | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-8321 |
| 1548287204 | NATALIA KOLESNIKOVA MD Individual | Internal Medicine | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-4607 |
| 1770502478 | DR. JEFFREY O. TOM MD Individual | Pediatrics | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1679587513 | JOAN M. FORESTER CRNA Individual | Nurse Anesthetist, Certified Registered | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1134134976 | GREG I. TANIDA LCSW Individual | Social Worker (Clinical) | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1700892023 | COURTNEY H. L. LIN CRNA Individual | Nurse Anesthetist, Certified Registered | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1043227218 | DR. JAMES H. YAMASHITA MD Individual | Internal Medicine | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1497764799 | CHARLENE M. AMELL FNP Individual | Nurse Practitioner (Family) | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1568471043 | DR. RAYMOND C. B. TAM MD Individual | Internal Medicine | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1679584502 | NATHAN H. FUJIMOTO MD Individual | Internal Medicine | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1952415333 | ROSSINI C. BOTEV MD Individual | Internal Medicine (Nephrology) | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1285730895 | MR. WILLIAM EUGENE HIGGINS C.R.N.A Individual | Nurse Anesthetist, Certified Registered | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-8900 |
| 1942307004 | GERIN T. S. CHUN MD Individual | Anesthesiology | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1275632747 | DR. BRIAN K. TABATA MD Individual | Anesthesiology | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1255430724 | DOUGLAS M. DAVENPORT MD Individual | Emergency Medicine | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1063512846 | TORREY L. GOODMAN MD Individual | Emergency Medicine | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1871693671 | STEVEN W. HONG MD Individual | Radiology (Diagnostic Radiology) | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1053411991 | DR. CYNTHIA R. BURDGE MD Individual | Internal Medicine | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
| 1346340239 | CLAYTON V. CHAN MD Individual | Internal Medicine (Medical Oncology) | 3288 MOANALUA RD HONOLULU, HI 96819 (808) 432-0000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255334579, enumerated in the NPI registry as an "individual" on May 31, 2005
The provider is located at 3288 Moanalua Rd Honolulu, Hi 96819 and the phone number is (808) 432-0000
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Kaiser Permanente, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 31, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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