- Practice location
- 680 Kinderkamack RD, 3RD Floor Suite 300, Oradell, NJ 07649-1600
- Phone
- 201-621-0858
- Fax
- 201-444-0350
- Last updated
- September 12, 2023
Sovereign Medical Group LLC is a healthcare organization based in Oradell, NJ. Sovereign Medical Group LLC practices in Oradell, NJ. The NPI Number for Sovereign Medical Group LLC is 1710282082. The current practice location address for Sovereign Medical Group LLC is 680 Kinderkamack RD, 3RD Floor Suite 300, Oradell, NJ 07649-1600 and can be reached out via phone at 201-621-0858 and via fax at 201-444-0350.
Provider Profile Details
- NPI Number
- 1710282082
- Provider Name
- Sovereign Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 680 Kinderkamack RD, 3RD Floor Suite 300, Oradell, NJ 07649-1600
- Phone Number
- 201-621-0858
- Fax Number
- 201-444-0350
- Primary Taxonomy
- Urology · 208800000X
- Organization Subpart
- No
- Authorized Official
- John H. Hajjar · Ceo · 201-834-1100
- Provider Enumeration Date
- January 18, 2011
- Last Update Date
- September 12, 2023
- Certification Date
- September 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Kinderkamack RD
3RD Floor Suite 300
Oradell, NJ 07649-1600 - City
- Oradell
- State
- New Jersey
- Zip
- 07649-1600
- Phone Number
- 201-621-0858
- Fax Number
- 201-444-0350
Provider Business Mailing Address Details
- Address
- 680 Kinderkamack RD
Suite 300 3RD Floor
Oradell, NJ 07649-1600 - City
- Oradell
- State
- NJ
- Zip
- 07649-1600
- Phone Number
- 201-834-1100
- Fax Number
- 201-444-0350
License Information
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X
- License State (3)
- NJ
- Taxonomy (3)
- Obstetrics & Gynecology · 207V00000X
- License State (4)
- NJ
- Taxonomy (4)
- Pathology, Clinical Pathology · 207ZC0006X
- License State (5)
- NJ
- Taxonomy (5)
- Radiology, Diagnostic Neuroimaging · 2085D0003X
- License State (6)
- NJ
- License State (7)
- NJ
- License State (8)
- NJ
- Taxonomy (8)
- Radiology, Diagnostic Radiology · 2085R0202X
- License State (9)
- NJ
- Taxonomy (9)
- Radiology, Vascular & Interventional Radiology · 2085R0204X
- License State (10)
- NJ
- Taxonomy (10)
- Radiology, Diagnostic Ultrasound · 2085U0001X
- License State (11)
- NJ
- Taxonomy (11)
- Surgery · 208600000X
- License State (12)
- NJ
- Taxonomy (12)
- Urology, Pediatric Urology · 2088P0231X
- License State (13)
- NJ
- Taxonomy (13)
- Colon & Rectal Surgery · 208C00000X
- Taxonomy (14)
- Clinical Medical Laboratory · 291U00000X
- License State (15)
- NJ
- Taxonomy (15)
- Urology · 208800000X · 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 1710282082. It was assigned on January 18, 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 Urology (code 208800000X).
Where does Sovereign Medical Group LLC practice?
The practice location is 680 Kinderkamack RD, 3RD Floor Suite 300, Oradell, NJ 07649-1600. The office can be reached at 201-621-0858 (phone) or 201-444-0350 (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 1710282082 directly on the NPPES registry website.