NPIMap

Individual provider Active NPI

Ernesto B Go, MD

  • Diagnostic Radiology Physician
  • Vineland, NJ
National Provider Identifier
1265489207
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA02907100 Issued in NJ
Practice address
1450 E Chestnut Ave
Building 4, Suite a
Vineland, NJ 08361-8467
Phone
(856) 794-8664
Fax
(856) 794-2671
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA02907100 NJ Primary

Addresses

Primary practice location

1450 E Chestnut Ave
Building 4, Suite a
Vineland, NJ 08361-8467

Mailing address

2384 Franklin Dr
Vineland, NJ 08361-6673

Other identifiers 5

IdentifierTypeStateIssuer
300127248OtherNJRAILROAD MEDICARE
1156712OtherNJHORIZON NJ HEALTH
812429OtherNJMEDICARE OF NJ
0073104000OtherNJAMERIHEALTH
2153505MedicaidNJ

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02907100NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of New Jersey PC Diagnostic Radiology Past Accepting new patients
Imaging Associates, PA Past Accepting new patients
Regional Radiology LLC Diagnostic Radiology Past Accepting new patients
South Jersey Health System Emergency Physician Services P a Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Raytel Medical Imaging, Inc. PastSince Jun 25, 2007 Accepting new patients
Community Radiology, P.a. Past Accepting new patients
Regional Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 8

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1265489207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 FRANKLIN DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E CHESTNUT AVE",
            "address_2": "BUILDING 4, SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618467",
            "telephone_number": "856-794-8664",
            "fax_number": "856-794-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "ERNESTO",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA02907100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300127248",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1156712",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF NJ",
            "identifier": "812429",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0073104000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2153505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.