Individual provider Active NPI

Mylene Sy Go, M.D

  • Hematology & Oncology Physician
  • Chester, PA
National Provider Identifier
1992964696
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA09055400 Issued in NJ
Practice address
1 Medical Center Blvd
Suite 341
Chester, PA 19013-3902
Phone
(610) 619-7420
Fax
(610) 876-6923
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA09055400 NJ Primary
Hematology & Oncology Physician 207RH0003X MD435113 PA

Addresses

Primary practice location

1 Medical Center Blvd
Suite 341
Chester, PA 19013-3902

Mailing address

1 Medical Center Blvd
Suite 341
Chester, PA 19013-3902
Phone (610) 619-7420

Other identifiers 1

IdentifierTypeStateIssuer
0306720MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20120828000073 NJ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0547333445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Memorial Hospital 18 clinicians
Southern Oncology Hematology Assoc 6 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3500

1505 W Sherman Ave
Suite 101
Vineland, NJ 08360-7059
Phone (856) 696-9550

Hospital & facility affiliations

  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
89.07
Improvement activities
40
Cost
87.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09055400NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oncology Hematology Assoc Hematology & Oncology CurrentSince Jan 6, 2020 Accepting new patients
Community Health Care, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Community Health Care, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Oncall Physician Staffing, Inc Past Accepting new patients
Oncall Hospitalist Staffing, PC Past Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

1505 W Sherman Ave
#101
Vineland, NJ 08360
Phone (856) 696-9550

Organizations & group practices 7

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 5

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1992964696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "SUITE 341",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-619-7420",
            "fax_number": "610-876-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "SUITE 341",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-619-7420",
            "fax_number": "610-876-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "MYLENE",
        "middle_name": "SY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA09055400",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD435113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306720",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.