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
- Organization
- Urology
- CLIA Number: 31D2167189
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-03-2027
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 8 years ago. Urology Specialtly Care Pa operates as a Multi-Specialty Group with one or more individual practitioners, 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
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 3 | 207ZC0006X | Allopathic & Osteopathic Physicians | Pathology | |
| 4 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | |
| 5 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 6 | 2088P0231X | Allopathic & Osteopathic Physicians | 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.
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 |
|---|---|---|---|
| 7586205 | MEDICAID (05) | NJ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2167189
- Facility Type
- Physician Office
- Certificate Effective Date
- June 04, 2025
- Certificate Expiration Date
- June 03, 2027
- Laboratory Director
- JOHN H. HAJJAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Urology Specialtly Care Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205125655, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
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.
