Louis F Perdomo (NPI# 1669547402, PAC ID# 9739167040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1669547402 |
| PAC ID by PECOS | 9739167040 |
| Professional Enrollment ID | I20040713000377 |
| Full Name | Louis F Perdomo |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Address |
1900 Union Valley Rd Hewitt NJ 07421-3024 |
| Phone Number | 9737285930 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 1456535392 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310017 | CHILTON MEDICAL CENTER |
| 310015 | MORRISTOWN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1900 Union Valley Rd, Hewitt, NJ 07421-3024 | 9737285930 | SOVEREIGN MEDICAL GROUP LLC |
| 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 |
1900 UNION VALLEY RD |
| City | HEWITT |
| State | NJ |
| Zip | 07421-3024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi N Rathi | Cardiac Electrophysiology | Practice Associates Medical Group | 1900 Union Valley Rd, Suite 301, Hewitt, NJ 07421-3024 |
| Preston Hupart | Cardiovascular Disease (cardiology) | Practice Associates Medical Group | 1900 Union Valley Rd, Suite 301, Hewitt, NJ 07421-3024 |
| George A Guariglia | Family Medicine | 1900 Union Valley Rd, Suite 303, Hewitt, NJ 07421-3024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynda Ruth Fabbo | Clinical Social Worker | 1954 Clinton Rd, Hewitt, NJ 07421-2624 |
| City | HEWITT |
| Zip Code | 07421 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | HEWITT + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Louis F Perdomo.
| 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.