Richard Maggio
SOVEREIGN MEDICAL GROUP LLC


Address: 2071 Clove Rd J, Staten Island, NY 10304-1612
Phone: 2018558301

Richard Maggio (NPI# 1205939998, PAC ID# 7214927417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1205939998
PAC ID by PECOS 7214927417
Professional Enrollment ID I20080428000152
Full Name Richard Maggio
Organization Legal Name SOVEREIGN MEDICAL GROUP LLC
Address 2071 Clove Rd J
Staten Island
NY 10304-1612
Phone Number 2018558301
Gender M
Medical School NEW YORK MEDICAL COLLEGE
Graduation Year 1987
Primary Specialty UROLOGY
Group Practice PAC ID 1456535392
Number of Group Practice Members 38
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330028 RICHMOND UNIVERSITY MEDICAL CENTER
330160 STATEN ISLAND UNIVERSITY HOSPITAL

Other Locations

Address Phone Organization
631 Grand, Suite 1, Jersey City, NJ 07304-3451 2017914544 SOVEREIGN MEDICAL GROUP LLC
2071 Clove Rd J, Staten Island, NY 10304-1612 2018558301 SOVEREIGN MEDICAL GROUP LLC
355 Bard Ave, Staten Island, NY 10310-1664 7188181234 AMBOY MEDICAL PRACTICE PC

Organization Information

Organization Legal Name SOVEREIGN MEDICAL GROUP LLC
Physicians 41

Physicians with the same organization

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
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
Jay M Kashkin Pediatric Medicine Sovereign Medical Group LLC 23-00 Route 208, Suite 2 1, Fair Lawn, NJ 07410-1558

Office Location

Street Address 2071 CLOVE RD J
City STATEN ISLAND
State NY
Zip 10304-1612

Physicians in the same location

Name Specialty Organization Address
Jay B Basillote Urology Sovereign Medical Group LLC 2071 Clove Rd J, Staten Island, NY 10304-1612

Physicians in the same zip code

Name Specialty Organization Address
Lucy R Sarkis Psychiatry 60 Romer Rd, Staten Island, NY 10304-1227
Seth L Golden Podiatry Preferred Family Footcare of Li Pllc 801 Narrows N Rd, Staten Island, NY 10304-1500
Jonathan Klein Podiatry Preferred Family Footcare of Li Pllc 801 Narrows N Rd, Staten Island, NY 10304-1500
George J Ayyad Internal Medicine 1800 Clove Rd, Staten Island, NY 10304-1600
Lucy S Kolloori Psychiatry Kolloori and Kolloori Physicians LLC 1800 Clove Rd, Staten Island, NY 10304-1600
Benjamin J Kolloori Internal Medicine Kolloori and Kolloori Physicians LLC 1800 Clove Rd, Staten Island, NY 10304-1600
Sunil H Patel Gastroenterology 1800 Clove Rd, Staten Island, NY 10304-1600
Angelo F Contino Psychologist, Clinical 183 Willow Rd E, Staten Island Nyc, NY 10304-1612
Isaac J Kreizman Physical Medicine and Rehabilitation Pars Medical PC 2071 Clove Rd, Staten Island, NY 10304-1612
S Ramachandran Nair Internal Medicine 2071 Clove Rd, Staten Island, NY 10304-1612
Find all physicians in zip 10304

Competitor

Search similar physicians

City STATEN ISLAND
Zip Code 10304
Specialty UROLOGY
City + Specialty STATEN ISLAND + UROLOGY

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Dataset Information

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.

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