Cristobal J Goa (NPI# 1528201993, PAC ID# 6204141815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1528201993 |
| PAC ID by PECOS | 6204141815 |
| Professional Enrollment ID | I20150811005696 |
| Full Name | Cristobal J Goa |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Address |
1 Sears Dr Suite 306 Paramus NJ 07652-3510 |
| Phone Number | 2018302285 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE, NUCLEAR MEDICINE |
| Group Practice PAC ID | 1456535392 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310012 | VALLEY HOSPITAL |
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Sears Dr, Suite 306, Paramus, NJ 07652-3510 | 2018302285 | SOVEREIGN MEDICAL GROUP LLC |
| 1 Sears Dr, Suite 306, Paramus, NJ 07652-3510 | 2018302287 | PHYSICIAN SPECIALISTS OF NORTHERN JERSEY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Bellapianta | Otolaryngology | Sovereign Medical Group LLC | 85 Harristown, Suite 105, Glen Rock, NJ 07452-3307 |
| Raffaella L Kalishman | Internal Medicine | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 104, Glen Rock, NJ 07452-3323 |
| Elliot L Shulman | Urology | Sovereign Medical Group LLC | 807 Kennedy Blvd, Suite A, Bayonne, NJ 07002-2983 |
| Albert O Kwon | Colorectal Surgery (proctology) | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Andranik Howhannesian | Urology | Sovereign Medical Group LLC | 14 -01 Broadway, Suite 3, Fair Lawn, NJ 07410-2008 |
| Jerry Silver | Otolaryngology | Sovereign Medical Group LLC | 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 |
| Joel Abramowitz | Urology | Sovereign Medical Group LLC | 8100 Kennedy Blvd, North Bergen, NJ 07047-4254 |
| Richard Maggio | Urology | Sovereign Medical Group LLC | 2071 Clove Rd J, Staten Island, NY 10304-1612 |
| Scott A Goler | Podiatry | Sovereign Medical Group LLC | 265 E 33rd St, Paterson, NJ 07504-1668 |
| Morteza Shahamat | Internal Medicine | Sovereign Medical Group LLC | 400 Franklin Tpke, Suite 104, Mahwah, NJ 07430-3517 |
| Street Address |
1 SEARS DR SUITE 306 |
| City | PARAMUS |
| State | NJ |
| Zip | 07652-3510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Penny | Cardiovascular Disease (cardiology) | 1 Sears Dr, Suite 303, Paramus, NJ 07652-3510 | |
| Urmi Das | Internal Medicine | Das Medical Associates PC | 1 Sears Dr, Suite 206, Paramus, NJ 07652-3510 |
| Janet M Helms | Optometry | 1 Sears Dr, Suite 205, Paramus, NJ 07652-3510 | |
| Andrea Flores | Chiropractic | Bergen Medical Sports and Spine, Inc. | 1 Sears Dr, Suite 305, Paramus, NJ 07652-3510 |
| Mallory Becker | Chiropractic | Bergen Medical Sports and Spine, Inc. | 1 Sears Dr, Suite 305, Paramus, NJ 07652-3510 |
| Michael L Gross | Rheumatology | Physician Specialists of Northern Jersey LLC | 1 Sears Dr, Suite 306, Paramus, NJ 07652-3510 |
| Garbis A Dabaghian | Internal Medicine | 1 Sears Dr, 3rd Fl Suite 303, Paramus, NJ 07652-3515 | |
| Hany A Sourial | Internal Medicine | 1 Sears Dr, 3rd Floor, Paramus, NJ 07652-3510 | |
| Amit Agarwal | Internal Medicine | Amit Agarwal Md PC | 1 Sears Dr, Suite 402, Paramus, NJ 07652-3520 |
| Robin N Kaplan | Clinical Social Worker | 1 Sears Dr, Paramus, NJ 07652-3515 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Winston Saulon | Anesthesiology | Bergen Regional Anesthesiology Group Pa | 230 E Ridegwood Ave, Paramus, NJ 07652 |
| Emmanuel A Lat | Plastic and Reconstructive Surgery | 17 Arcadian Way, Suite 103, Paramus, NJ 07652-1245 | |
| Lawrence T Kim | Physical Therapy | Edge Physical Therapy and Sports Medicine LLC | 16 Arcadian Way, Suite C6, Paramus, NJ 07652-1291 |
| Manuel A Arruffat | Physical Therapy | Edge Physical Therapy and Sports Medicine LLC | 16 Arcadian Way, Suite C6, Paramus, NJ 07652-1291 |
| Georgios Kotzias | Podiatry | 16 Arcadian Way, Suite C6, Paramus, NJ 07652-1291 | |
| Harvey Block | Psychologist, Clinical | 16 Arcadian Way, Suite C2, Paramus, NJ 07652-1291 | |
| Joel S Federbush | Psychiatry | 16 Arcadian Way, C2, Paramus, NJ 07652-1291 | |
| Chisako Sugiyama-murray | Physical Therapy | Edge Physical Therapy and Sports Medicine LLC | 16 Arcadian Way, Suite C6, Paramus, NJ 07652-1291 |
| Tonel Leibu | Internal Medicine | 16 Arcadian Way, Suite C3, Paramus, NJ 07652-1291 | |
| Jennifer Eve Reyes | Physician Assistant | Nj Spine Institute, LLC | 37 W Centry Rd, Suite 104, Paramus, NJ 07652-1409 |
| Find all physicians in zip 07652 | |||
| City | PARAMUS |
| Zip Code | 07652 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PARAMUS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Cristobal J Goa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.