Sovereign Medical Group Llc is a Pediatric Urology Physician based in Glen Rock, NJ and is specialized in Pediatric Urology. Sovereign Medical Group Llc practices in Fair Lawn, NJ. The NPI Number for Sovereign Medical Group Llc is 1205125655 and holds a License No. (New Jersey).
The current practice location address for Sovereign Medical Group Llc is 15-01 Broadway, Fair Lawn, NJ and can be reached out via phone at 201-791-4544 and via fax at 201-794-6970.
Location: 15-01 Broadway, Fair Lawn, NJ, 07452-3329
Provider Profile Details
NPI Number
1205125655
Provider Name
Sovereign Medical Group Llc
Credential
Provider Entity Type
Organization
Address
15-01 Broadway, Fair Lawn, NJ, 07452-3329
Phone Number
201-791-4544
Fax Number
201-794-6970
Provider Enumeration Date
04/06/2011
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7586205 | 05 | NJ |
Provider Business Practice Location Address Details
Address
15-01 Broadway
City
State
Zip
07410
Phone Number
201-791-4544
Fax Number
201-794-6970
Provider Business Mailing Address Details
Address
15-01 Broadway
City
State
Zip
07410
Phone Number
201-791-4544
Fax Number
201-794-6970
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Clinical Pathology
Taxonomy
License No.
()
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
()
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
()
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Pediatric Urology
Taxonomy
License No.
()
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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