Active NPI
Hector H Goa, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1003835182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 135882
- Practice address
- 1623 3Rd Ave Ste 201
New York, NY 10128-3638 - Phone
- (212) 289-4839
- Fax
- (845) 365-3604
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 135882-1 | NY | |
| Psychiatry Physician | 2084P0800X | 135882 | NY | Primary |
Addresses
Primary practice location
1623 3Rd Ave Ste 201
New York, NY 10128-3638
Mailing address
160 High Ave
Nyack, NY 10960-2503
Phone (212) 289-4839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00706881 | Medicaid | NY | |
| 39D161 | Other | NY | MEDICARE |
Other names 1
- Dr. Hector H Goa
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1623 3Rd Ave
Suite 201
New York, NY 10128-3638
Phone (212) 289-4839
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135882-1 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hector H. Goa, MD, PC | Psychiatry | Current | Accepting new patients |
| United Bronx Parents, Inc. | Past | Accepting new patients |
Locations
1623 3rd Ave
Ste 201
New York, NY 10128
Phone (212) 289-4839
247 E 82nd St
#8
New York, NY 10028
Phone (212) 289-4839
48 S Broadway
Unit 826
Nyack, NY 10960
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1720250335
-
- Substance Abuse Rehabilitation Facility
- Bronx, NY
- NPI 1013197268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1003835182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 HIGH AVE",
"city": "NYACK",
"state": "NY",
"postal_code": "109602503",
"telephone_number": "212-289-4839",
"fax_number": "845-365-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 3RD AVE STE 201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283638",
"telephone_number": "212-289-4839",
"fax_number": "845-365-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOA",
"first_name": "HECTOR",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "135882-1",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "135882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00706881",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "39D161",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HECTOR",
"last_name": "GOA",
"middle_name": "H",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.