Individual provider Active NPI

Rolando L. Degoma, MD

  • Cardiovascular Disease Physician
  • Trenton, NJ
National Provider Identifier
1194724195
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA31053 Issued in NJ
Practice address
416 Bellevue Ave
Ste 303
Trenton, NJ 08618-4513
Phone
(609) 396-6363
Fax
(609) 695-7747
NPI assigned
Jul 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA31053 NJ Primary

Addresses

Primary practice location

416 Bellevue Ave
Ste 303
Trenton, NJ 08618-4513

Mailing address

416 Bellevue Ave
Ste 303
Trenton, NJ 08618-4513
Phone (609) 396-6363

Other identifiers 1

IdentifierTypeStateIssuer
2504308MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000159 NJ Practitioner - Cardiovascular Disease (Cardiology) 6709772262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Cardiology Associates P aGroup PAC ID 1951394162, 5 clinicians

Practice addresses (Care Compare)

40 Fuld St
Suite 400
Trenton, NJ 08638-5247
Phone (609) 396-1644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA31053NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Cardiology Associates P a Cardiovascular Disease CurrentSince May 29, 2018 Accepting new patients
Allegiance Health Group LLC Cardiovascular Disease PastSince May 29, 2018 Accepting new patients

Locations

40 Fuld St
Ste 400
Trenton, NJ 08638
Phone (609) 396-1644

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194724195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BELLEVUE AVE",
            "address_2": "STE 303",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184513",
            "telephone_number": "609-396-6363",
            "fax_number": "609-695-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BELLEVUE AVE",
            "address_2": "STE 303",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184513",
            "telephone_number": "609-396-6363",
            "fax_number": "609-695-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGOMA",
        "first_name": "ROLANDO",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA31053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.