Active NPIOrganization

Sovereign Health Imaging, LLC

Radiology, Diagnostic Radiology in Carlstadt, New Jersey

NPI Number1316997893
Practice location
630 Broad Street, Carlstadt, NJ 07072-0468
Fax
201-372-1028
Last updated
June 16, 2018

Sovereign Health Imaging, LLC is a healthcare organization based in Carlstadt, NJ. Sovereign Health Imaging, LLC practices in Carlstadt, NJ. The NPI Number for Sovereign Health Imaging, LLC is 1316997893. The current practice location address for Sovereign Health Imaging, LLC is 630 Broad Street, Carlstadt, NJ 07072-0468 and can be reached out via phone at 201-372-1020 and via fax at 201-372-1028.

Provider Profile Details

NPI Number
1316997893
Provider Name
Sovereign Health Imaging, LLC
Provider Entity Type
Organization
Address
630 Broad Street, Carlstadt, NJ 07072-0468
Phone Number
201-372-1020
Fax Number
201-372-1028
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Organization Subpart
No
Authorized Official
John H Hajjar, MD · Ceo · 201-791-4544
Other Names
New Jersey Institute Of Radiology PC (Former Legal Business Name)
Provider Enumeration Date
May 12, 2006
Last Update Date
June 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
630 Broad Street
Carlstadt, NJ 07072-0468
Zip
07072-0468
Phone Number
201-372-1020
Fax Number
201-372-1028
Carlstadt, NJ 07072Get directions →

Provider Business Mailing Address Details

Address
630 Broad Street
Carlstadt, NJ 07072-0468
City
Carlstadt
State
NJ
Zip
07072-0468
Phone Number
201-372-1020
Fax Number
201-372-1028

License Information

License State (1)
NJ
License State (2)
NJ
License State (3)
NJ
Taxonomy (3)
Radiology, Body Imaging · 2085B0100X
License State (4)
NJ
Taxonomy (4)
· 2085N0700X
License State (5)
NJ
Taxonomy (5)
· 2085N0904X
License State (6)
NJ
Taxonomy (6)
Radiology, Pediatric Radiology · 2085P0229X
License State (7)
NJ
License State (8)
NJ
Taxonomy (8)
Radiology, Diagnostic Ultrasound · 2085U0001X
Taxonomy (9)
Radiology, Diagnostic Ultrasound · 2085U0001X
License State (10)
NJ
Taxonomy (10)
Nuclear Medicine · 207U00000X
License State (11)
NJ
Taxonomy (11)
Nuclear Medicine, Nuclear Cardiology · 207UN0901X
License State (12)
NJ
Taxonomy (12)
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Health Imaging, LLC?

The NPI number of Sovereign Health Imaging, LLC is 1316997893. It was assigned on May 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Sovereign Health Imaging, LLC?

Sovereign Health Imaging, LLC is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X).

Where does Sovereign Health Imaging, LLC practice?

The practice location is 630 Broad Street, Carlstadt, NJ 07072-0468. The office can be reached at 201-372-1020 (phone) or 201-372-1028 (fax).

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 1316997893 directly on the NPPES registry website.

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