Sovereign Medical Group, LLC
Durable Medical Equipment & Medical Supplies in Carlstadt, New Jersey
1073984654- Practice location
- 630 Broad St, Suite 2B, Carlstadt, NJ 07072-1169
- Phone
- 201-355-1700
- Fax
- —
- Last updated
- October 8, 2015
Sovereign Medical Group, LLC is a healthcare organization based in Carlstadt, NJ. Sovereign Medical Group, LLC practices in Carlstadt, NJ. The NPI Number for Sovereign Medical Group, LLC is 1073984654. The current practice location address for Sovereign Medical Group, LLC is 630 Broad St, Suite 2B, Carlstadt, NJ 07072-1169 and can be reached out via phone at 201-355-1700.
Provider Profile Details
- NPI Number
- 1073984654
- Provider Name
- Sovereign Medical Group, LLC
- Provider Entity Type
- Organization
- Address
- 630 Broad St, Suite 2B, Carlstadt, NJ 07072-1169
- Phone Number
- 201-355-1700
- Primary Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Organization Subpart
- No
- Authorized Official
- Dr. John Hajjar, MD · Owner · 201-855-8302
- Provider Enumeration Date
- October 8, 2015
- Last Update Date
- October 8, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 630 Broad St
Suite 2B
Carlstadt, NJ 07072-1169 - City
- Carlstadt
- State
- New Jersey
- Zip
- 07072-1169
- Phone Number
- 201-355-1700
Provider Business Mailing Address Details
- Address
- 85 Harristown RD
2ND Floor
Glen Rock, NJ 07452-3329 - City
- Glen Rock
- State
- NJ
- Zip
- 07452-3329
- Phone Number
- 201-855-8301
License Information
- Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sovereign Medical Group, LLC?
The NPI number of Sovereign Medical Group, LLC is 1073984654. It was assigned on October 8, 2015 and is currently active in the NPPES registry.
What is the specialty of Sovereign Medical Group, LLC?
Sovereign Medical Group, LLC is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X).
Where does Sovereign Medical Group, LLC practice?
The practice location is 630 Broad St, Suite 2B, Carlstadt, NJ 07072-1169. The office can be reached at 201-355-1700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073984654 directly on the NPPES registry website.