Individual provider Active NPI

Hector H Goa, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1003835182
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
135882 Issued in NY
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

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00706881MedicaidNY
39D161OtherNYMEDICARE

Other names 1

  • Dr. Hector H Goa Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001287 NY Practitioner - Psychiatry 0840181616 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
135882-1NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hector H. Goa, MD, PC Psychiatry CurrentSince Jan 1, 2008 Accepting new patients
United Bronx Parents, Inc. PastSince May 7, 2025 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.

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

Verify at the official NPI Registry.