Healthcare Provider Details

I. General information

NPI: 1750218400
Provider Name (Legal Business Name): NEXGO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 WEST BRANCH AVE APT 100B
PINE HILL NJ
08021
US

IV. Provider business mailing address

111 TOWN SQUARE PL STE 1238 #710042
JERSEY CITY NJ
07310-1810
US

V. Phone/Fax

Practice location:
  • Phone: 856-520-1022
  • Fax:
Mailing address:
  • Phone: 856-520-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. BRYANT THORNTON JR.
Title or Position: OWNER
Credential:
Phone: 856-520-1022