Active NPI
Esubalew Mindaye
- Student in an Organized Health Care Education/Training Program
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 750 Brunswick Aveneu
Trenton, NJ 08638 - Phone
- (609) 394-6031
- NPI assigned
- Dec 19, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NJ | Primary | |
| Internal Medicine Physician | 207R00000X | MDCE.ML.70053971 | WA |
Addresses
Primary practice location
750 Brunswick Aveneu
Trenton, NJ 08638
Mailing address
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6031
Other practice location 1
2219 Rimland Dr Ste 301
Bellingham, WA 98226-8759
Phone (832) 776-3603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4755 S 48TH St
Tacoma, WA 98409-1919
Phone (877) 883-9430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDCE.ML.70053971 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Washington PLLC | Internal Medicine | Current | Accepting new patients |
| Post Acute Medical PLLC | Internal Medicine | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
2219 Rimland Dr
Ste 301
Bellingham, WA 98226
Phone (360) 305-1211
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282
4755 S 48th St
Tacoma, WA 98409
Phone (253) 475-4611
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
Organizations & group practices 2
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1124983291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 BRUNSWICK AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086384143",
"telephone_number": "609-394-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BRUNSWICK AVENEU",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08638",
"telephone_number": "609-394-6031"
}
],
"practiceLocations": [
{
"address_1": "2219 Rimland Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982268759",
"country_code": "US",
"telephone_number": "832-776-3603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINDAYE",
"first_name": "ESUBALEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-19",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MDCE.ML.70053971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.