Active NPI
Roberto Sabellano Go Jr., P.T.
- Physical Therapist
- Madison, NJ
National Provider Identifier
1114185329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40QA00973500
- Practice address
- 6 Main St
Madison, NJ 07940-1883 - Phone
- (973) 966-5580
- NPI assigned
- May 26, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT40QA00973500 | NJ | Primary |
Addresses
Primary practice location
6 Main St
Madison, NJ 07940-1883
Mailing address
265 Lake Shore Dr
Lake Hiawatha, NJ 07034-1603
Phone (973) 299-4443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40QA00973500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Family Eyecare, PC | Past | Accepting new patients | |
| Sportscare Institute, Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Toms River, NJ
- NPI 1275501074
-
- Corneal and Contact Management Optometrist
- Red Bank, NJ
- NPI 1598796062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211760000000",
"number": "1114185329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 LAKE SHORE DR",
"city": "LAKE HIAWATHA",
"state": "NJ",
"postal_code": "070341603",
"telephone_number": "973-299-4443",
"fax_number": "973-299-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MAIN ST",
"city": "MADISON",
"state": "NJ",
"postal_code": "079401883",
"telephone_number": "973-966-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GO",
"first_name": "ROBERTO",
"middle_name": "SABELLANO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-26",
"last_updated": "2008-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PT40QA00973500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.