Individual provider Active NPI

Ronaldo Collo Go, MD

  • Pulmonary Disease Physician
  • Hackensack, NJ
National Provider Identifier
1336335710
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA09753800 Issued in NJ
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone
(551) 996-3500
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA09753800 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 256248 NY
Pulmonary Disease Physician 207RP1001X 256248 NY
Pulmonary Disease Physician 207RP1001X 25MA09753800 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-3500

Other practice location 1

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

Other practice location 2

68 Harris Bushville Rd
Harris, NY 12742-0800
Phone (845) 794-3379

Other identifiers 1

IdentifierTypeStateIssuer
03398170MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgo31167@direct.garnethealth.org Direct Garnet Health Doctors PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091005000369 MA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2062567613 Reassigns benefits to 1 organization
I20111028000653 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Hospitalist 2062567613 Reassigns benefits to 1 organization
I20200203001845 NJ Practitioner - Critical Care (Intensivists) 2062567613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Intensivist Associates LLCGroup PAC ID 3971746470, 15 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 586-7900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09753800NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Intensivist Associates LLC Critical Care Medicine CurrentSince Mar 1, 2021 Accepting new patients
Coastal Medical Associates CurrentSince Jul 8, 2022 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Jun 30, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 13, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 13, 2020 Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

385 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-3003

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

515 Main St
Olean, NY 14760
Phone (716) 373-2600

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Interoperability endpoints

  • Direct secure messaging: rgo101227@epicdirect.rwjbh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1336335710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-996-3500",
            "fax_number": "551-996-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-996-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-7575",
            "fax_number": "845-333-7202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Harris Bushville Rd",
            "address_purpose": "LOCATION",
            "city": "Harris",
            "state": "NY",
            "postal_code": "127420800",
            "country_code": "US",
            "telephone_number": "845-794-3379",
            "fax_number": "845-791-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GO",
        "first_name": "RONALDO",
        "middle_name": "COLLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA09753800",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "256248",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "256248",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA09753800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03398170",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgo31167@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "707 E Main St",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109402650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.