Sovereign Medical Group LLC
Healthcare Provider in Hackensack, New Jersey
1669761110- Practice location
- 20 Woodridge Ave, Hackensack, NJ 07601-6013
- Phone
- 201-880-7580
- Fax
- 201-880-7585
- Last updated
- June 9, 2011
Sovereign Medical Group LLC is a healthcare organization based in Hackensack, NJ. Sovereign Medical Group LLC practices in Hackensack, NJ. The NPI Number for Sovereign Medical Group LLC is 1669761110. The current practice location address for Sovereign Medical Group LLC is 20 Woodridge Ave, Hackensack, NJ 07601-6013 and can be reached out via phone at 201-880-7580 and via fax at 201-880-7585.
Provider Profile Details
- NPI Number
- 1669761110
- Provider Name
- Sovereign Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 20 Woodridge Ave, Hackensack, NJ 07601-6013
- Phone Number
- 201-880-7580
- Fax Number
- 201-880-7585
- Primary Taxonomy
- Healthcare Provider · 2085R0001X
- Organization Subpart
- Yes
- Parent Organization
- Sovereign Medical Group LLC
- Authorized Official
- Donald F Vardaro · Administrative Director · 201-880-7580
- Other Names
- Hackensack Radiation Therapy LLC (Doing Business As)
- Provider Enumeration Date
- April 6, 2011
- Last Update Date
- June 9, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Woodridge Ave
Hackensack, NJ 07601-6013 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-6013
- Phone Number
- 201-880-7580
- Fax Number
- 201-880-7585
Provider Business Mailing Address Details
- Address
- 20 Woodridge Ave
Hackensack, NJ 07601-6013 - City
- Hackensack
- State
- NJ
- Zip
- 07601-6013
- Phone Number
- 201-880-7580
- Fax Number
- 201-880-7585
License Information
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Healthcare Providers near Hackensack, NJ
View all Healthcare Providers in Hackensack →Frequently Asked Questions
What is the NPI number of Sovereign Medical Group LLC?
The NPI number of Sovereign Medical Group LLC is 1669761110. It was assigned on April 6, 2011 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 Healthcare Provider (code 2085R0001X).
Where does Sovereign Medical Group LLC practice?
The practice location is 20 Woodridge Ave, Hackensack, NJ 07601-6013. The office can be reached at 201-880-7580 (phone) or 201-880-7585 (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 1669761110 directly on the NPPES registry website.