UROLOGY SPECIALTLY CARE PA
NPI 1205125655
Urology in Fair Lawn, NJ

NPI Status: Active since April 06, 2011

Contact Information

15-01 BROADWAY
SUITE 1 & 3
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 791-4544
Fax: (201) 794-6970

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  • Organization
  • Urology

About UROLOGY SPECIALTLY CARE PA

This page provides the complete NPI Profile along with additional information for Urology Specialtly Care Pa, a provider established in Fair Lawn, New Jersey operating as a Urology. The healthcare provider is registered in the NPI registry with number 1205125655 assigned on April 2011. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Urology Specialtly Care Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Urology Specialtly Care Pa. The authorized official of this NPI record is John H Hajjar Md (Owner)

NPI
1205125655
Provider Legal Name
SOVEREIGN MEDICAL GROUP LLC
Other Organization Name
UROLOGY SPECIALTLY CARE PA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15-01 BROADWAY SUITE 1 & 3 FAIR LAWN, NJ 07410
Location Phone
(201) 791-4544
Location Fax
(201) 794-6970
Mailing Address
85 HARRISTOWN RD FL 2 GLEN ROCK, NJ 07452
Mailing Phone
(201) 855-8446
Mailing Fax
(201) 794-6970
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-06-2011
Last Update Date
05-31-2018
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Location Map

Secondary Locations

  • 15-01 Broadway Suite 1 & 3
    Fair Lawn, NJ 07410
    (201) 791-4544

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
3207ZC0006XAllopathic & Osteopathic Physicians

Pathology
Clinical Pathology

 
42085R0001XAllopathic & Osteopathic Physicians

Radiology
Radiation Oncology

 
52085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
62088P0231XAllopathic & Osteopathic Physicians

Urology
Pediatric Urology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN H HAJJAR MD

Authorized Official Title
OWNER
Authorized Official Phone
(201) 791-4544

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7586205MEDICAID (05)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205125655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22052210610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 2 + 2 + 1 + 0 + 6 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1205125655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. RAMESH C GUPTA M.D.

Internal Medicine

(Gastroenterology)

15-01 BROADWAY
SUITE 28
FAIR LAWN, NJ
ZIP 07410

(201) 794-8900

NORTH JERSEY GI ASSOCIATES,PA

Internal Medicine

(Gastroenterology)

15-01 BROADWAY
SUITE # 28
FAIR LAWN, NJ
ZIP 07410

(201) 794-8900

DR. IRINA BASS MD

Pediatrics

15-01 BROADWAY
SUITE36
FAIR LAWN, NJ
ZIP 07410

(201) 773-6171

ROBERT GREENBLUM MD

Specialist

15-01 BROADWAY
STE 20
FAIR LAWN, NJ
ZIP 07410

(201) 794-6008

JOHN LEE BERGER MD

Specialist

15-01 BROADWAY
SUITE 20
FAIR LAWN, NJ
ZIP 07410

(201) 794-6008

DR. WENDY GAYLE NACH D.P.M

Podiatrist

(Foot Surgery)

15-01 BROADWAY
30C
FAIR LAWN, NJ
ZIP 07410

(201) 794-6656

SAILAJA DEVI VALIVETI MD

Psychiatry & Neurology

(Geriatric Psychiatry)

15-01 BROADWAY
FAIR LAWN, NJ
ZIP 07410

(201) 794-7733

DR. PADMAVATHY KURRA MD

Psychiatry & Neurology

(Psychiatry)

15-01 BROADWAY
SUITE 10-B
FAIR LAWN, NJ
ZIP 07410

(201) 794-7733

DR. STEVEN FREDRIC RUBIN D.O.

Family Medicine

15-01 BROADWAY
STE 23
FAIR LAWN, NJ
ZIP 07410

(201) 791-2222

KURRA ASSOCIATES PA

Psychiatry & Neurology

(Psychiatry)

15-01 BROADWAY
SUITE 10B
FAIR LAWN, NJ
ZIP 07410

(201) 794-7733

JAMES M KATZ MD PA

Dermatology

15-01 BROADWAY
SUITE 22
FAIR LAWN, NJ
ZIP 07410

(201) 797-4009

DR. DANIEL SIME VIDAIC DPT

Physical Therapist

15-01 BROADWAY
SUITE 30A
FAIR LAWN, NJ
ZIP 07410

(201) 703-7107

MRS. MEGAN A. JURIK MSPT

Physical Therapist

15-01 BROADWAY
SUITE 30A
FAIR LAWN, NJ
ZIP 07410

(201) 703-7107

MR. GERALD PONCE IGOT PT

Physical Therapist

15-01 BROADWAY
SUITE30A
FAIR LAWN, NJ
ZIP 07410

(201) 703-7107

DR. PAUL JOSEPH MARKOWITZ D.M.D.

Dentist

(General Practice)

15-01 BROADWAY
SUITE 10-F
FAIR LAWN, NJ
ZIP 07410

(201) 791-0130

DR. THOMAS RENNY D.M.D.

Dentist

(General Practice)

15-01 BROADWAY
FAIR LAWN, NJ
ZIP 07410

(201) 791-0130

WENDY NACH DPM

Durable Medical Equipment & Medical Supplies

15-01 BROADWAY
FAIR LAWN, NJ
ZIP 07410

(201) 794-6656

NEW JERSEY BACK INSTITUTE

Clinic/Center

(Health Service)

15-01 BROADWAY
SUITE 20
FAIR LAWN, NJ
ZIP 07410

(201) 794-2169

KESSLER INSTITUTE FOR REHABILITATION INC

Clinic/Center

(Physical Therapy)

15-01 BROADWAY
SUITE 9
FAIR LAWN, NJ
ZIP 07410

(201) 791-8989

DR. VIKTORIA SVERDLOV DMD

Dentist

15-01 BROADWAY
SUITE 10F
FAIR LAWN, NJ
ZIP 07410

(201) 791-0130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205125655, enumerated as an "organization" on April 06, 2011.

The provider is located at 15-01 BROADWAY SUITE 1 & 3 FAIR LAWN, NJ 07410 and the phone number is (201) 791-4544.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.