ESUBALEW MINDAYE
NPI 1124983291
Student in an Organized Health Care Education/Training Program in Trenton, NJ
About Esubalew Mindaye NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESUBALEW MINDAYE (NPI 1124983291) is an individual student in an organized health care education/training program in Trenton, New Jersey and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bellingham, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Esubalew Mindaye is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Esubalew Mindaye's NPI number?
The NPI number for Esubalew Mindaye is 1124983291. It was assigned to this individual provider in the NPPES registry on December 19, 2025.
Where is Esubalew Mindaye located?
Esubalew Mindaye practices at 750 Brunswick Aveneu, Trenton, NJ 08638. The listed phone number is (609) 394-6031.
What is Esubalew Mindaye's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Esubalew Mindaye enrolled in Medicare?
Yes. Esubalew Mindaye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Esubalew Mindaye was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Esubalew Mindaye · NPI 1124983291
Student in an Organized Health Care Education/Training Program provider in Trenton, New Jersey. Individual provider, active in the CMS NPPES registry since December 19, 2025.
## Identity
- **NPI:** 1124983291 (Entity type: Individual)
- **Enumerated:** December 19, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 750 BRUNSWICK AVENEU, Trenton, NJ 08638
- **Phone:** (609) 394-6031
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124983291) · Data from the CMS NPPES public registry.