Individual provider Active NPI

Marietta Ecarma Go, M.D.

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1801113683
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219884 Issued in NY
Practice address
102 Park Ave
Yonkers, NY 10703-2934
Phone
(914) 965-4300
Fax
(914) 965-7625
NPI assigned
May 3, 2010
Last updated
May 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219884 NY Primary

Addresses

Primary practice location

102 Park Ave
Yonkers, NY 10703-2934

Mailing address

102 Park Ave
Yonkers, NY 10703-2934
Phone (914) 965-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230614003825 NY Practitioner - Internal Medicine 8921466400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Medical Practice PCGroup PAC ID 5597901868, 28 clinicians

Practice addresses (Care Compare)

102 Park Ave
Suite 1
Yonkers, NY 10703-2905
Phone (914) 965-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219884NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Medical Practice PC Internal Medicine CurrentSince May 7, 2023 Accepting new patients

Locations

3050 Corlear Ave
Ste 201
Bronx, NY 10463
Phone (718) 543-2700

102 Park Ave
Yonkers, NY 10703
Phone (914) 376-3770

102 Park Ave
Ste 1
Yonkers, NY 10703
Phone (914) 965-4300

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1801113683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032934",
            "telephone_number": "914-965-4300",
            "fax_number": "914-965-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032934",
            "telephone_number": "914-965-4300",
            "fax_number": "914-965-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "MARIETTA",
        "middle_name": "ECARMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.