DR. ROLANDO L. DEGOMA (NPI# 1194724195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194724195 |
| Entity Type | Individual |
| Full Name | DR. ROLANDO L. DEGOMA |
| Credential | MD |
| Practice Address |
416 Bellevue Ave Ste 303 Trenton NJ 08618-4513 |
| Practice Telephone | 6093966363 |
| Practice Fax Number | 6096957747 |
| Mailing Telephone | 6093966363 |
| Mailing Fax Number | 6096957747 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA31053 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2504308 | 05 |
| Street Address |
416 BELLEVUE AVE STE 303 |
| City | TRENTON |
| State | NJ |
| Zip Code | 08618-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650149 | Slobodan Grujic | Anesthesiology | 416 Bellevue Ave, Suite 104, Trenton, NJ 08618-4513 | 2005-06-27 |
| 1649839200 | Jessica Libove | Lactation Consultant, Non-RN | 416 Bellevue Ave, Trenton, NJ 08618-4513 | 2019-06-07 |
| 1144779471 | Catherine Mcnamara | Nurse Practitioner | 416 Bellevue Ave, Trenton, NJ 08618-4513 | 2016-09-28 |
| 1962951608 | Bellevue Pediatrics | Nurse Practitioner | 416 Bellevue Ave, Trenton, NJ 08618-4513 | 2016-09-22 |
| 1942657713 | Now(nutrition, Obesity, Weight Management) Program for Kids | Nutritionist | 416 Bellevue Ave, 305, Trenton, NJ 08618-4513 | 2016-05-20 |
| 1932470960 | Michelle L Schwab | Nurse Anesthetist, Certified Registered | 416 Bellevue Ave, Suite 104, Trenton, NJ 08618-4513 | 2012-01-23 |
| 1164792271 | Tracey A Kiefaber | Nurse Anesthetist, Certified Registered | 416 Bellevue Ave, Suite 104, Trenton, NJ 08618-4513 | 2012-01-05 |
| 1306116710 | Nicole L Freeling | Nurse Anesthetist, Certified Registered | 416 Bellevue Ave, Suite 104, Trenton, NJ 08618-4513 | 2012-01-03 |
| 1154691467 | James M Campbell | Nurse Anesthetist, Certified Registered | 416 Bellevue Ave, Suite 104, Trenton, NJ 08618-4513 | 2012-01-03 |
| 1841567955 | Amy L Vanore | Nurse Anesthetist, Certified Registered | 416 Bellevue Ave, Trenton, NJ 08618-4513 | 2011-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457993 | Capitals Pizzeria | Meals | 211 Reverend Howard S. Woodson Way, Trenton, NJ 08618 | 2020-01-30 |
| 1760049738 | Stem Civics, Inc. | Local Education Agency (LEA) | 1555 Pennington Road, Ewing, NJ 08618 | 2019-05-24 |
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1497138705 | Jennifer Warren | Community Health Worker | 32 Newell Ave, Trenton, NJ 08618 | 2015-07-06 |
| 1447665500 | Avinique Marshall | Community Health Worker | 23 Van Duyn Dr, Ewing, NJ 08618 | 2014-06-27 |
| 1891116646 | Ameen Hasan Abdullah | Counselor | 132 Perry St., Trenton, NJ 08618 | 2013-12-20 |
| 1083042782 | Odelind King Lewis | Social Worker | 321 North Warren Street, Trenton, NJ 08618 | 2013-10-16 |
| 1346595089 | Essential Foot Care PC | Clinic/Center | 1440 Pennington Road, Ewing, NJ 08618 | 2012-07-18 |
| 1245543453 | Beverly M Gibson | Counselor | 68 Dunmore Avneue, Ewing, NJ 08618 | 2010-07-16 |
| 1386878353 | James C Wadley | Community/Behavioral Health | 312 Masterson Court, Ewing, NJ 08618 | 2009-05-06 |
| Find all providers in zip 08618 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134462559 | Michael Ashbrook | Internal Medicine | 5400 Fort St Ste 110, Trenton, MI 48183-4698 | 2013-04-03 |
| 1730112293 | N Gupta Md PC | Internal Medicine | 1660 Kingsway Ct, Trenton, MI 48183-1923 | 2006-07-08 |
| 1053365460 | Cardiothoracic & Vascular Assoc PC | Internal Medicine | 1760 Whitehorse Hamilton Square Rd, Trenton, NJ 08690-3535 | 2006-05-20 |
| 1598926651 | Aarti Patel | Internal Medicine | 2073 Klockner Rd, Trenton, NJ 08690-3414 | 2008-06-21 |
| 1013188655 | New Jersey Preventive Cardiology | Internal Medicine | 416 Bellevue Ave, Suite 303, Trenton, NJ 08618-4513 | 2008-03-21 |
| 1851572234 | Saint Luke's Hospital of Trenton | Internal Medicine | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2007-11-14 |
| 1609093590 | Bipinpreet Singh Nagra | Internal Medicine | 40 Fuld St, Suite 400, Trenton, NJ 08638-5247 | 2007-04-20 |
| 1538184684 | Narsingh Dass Gupta | Internal Medicine | 1660 Kingsway Ct, Trenton, MI 48183-1923 | 2006-07-12 |
| 1649215989 | Muhammad Usman Mustafa | Internal Medicine | 40 Fuld St, Suite 400, Trenton, NJ 08638 | 2006-06-19 |
| 1811931488 | Prabodh Damani | Internal Medicine | 40 Fuld St, Suite 400, Trenton, NJ 08638 | 2006-06-15 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.