Active NPI
Isaak I Halegoua, MD
- Internal Medicine Physician
- Trenton, NJ
National Provider Identifier
1124076393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08910000
- Practice address
- 601 Hamilton Ave
Trenton, NJ 08629-1915 - Phone
- (609) 599-5050
- Fax
- (609) 599-4318
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08910000 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 125089 | NY |
Addresses
Primary practice location
601 Hamilton Ave
Trenton, NJ 08629-1915
Mailing address
601 Hamilton Ave
Trenton, NJ 08629-1915
Phone (609) 599-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00275838 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | isakk.halegoua@12833.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08910000 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Multispecialty Group | Internal Medicine | Current | Accepting new patients |
Locations
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000
Interoperability endpoints
- isakk.halegoua@12833.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1124076393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HAMILTON AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086291915",
"telephone_number": "609-599-5050",
"fax_number": "609-599-4318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HAMILTON AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086291915",
"telephone_number": "609-599-5050",
"fax_number": "609-599-4318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEGOUA",
"first_name": "ISAAK",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08910000",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "125089",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00275838",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "isakk.halegoua@12833.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "601 Hamilton Ave",
"city": "Trenton",
"state": "NJ",
"country_code": "US",
"postal_code": "086291915",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.