SOVEREIGN MEDICAL SERVICES PC
NPI 1629380449
Surgery - Vascular Surgery in Jericho, NY

Active since July 09, 2010
420 JERICHO TPKE, SUITE 212, JERICHO, NY 11753(516) 277-2121(516) 277-2122 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sovereign Medical Services Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOVEREIGN MEDICAL SERVICES PC (NPI 1629380449) is a healthcare organization registered as a vascular surgery in Jericho, New York and active in the NPI registry since July 2010. The organization lists Jonathan Landow, President, as its authorized official.

NPPES Registry Identity

NPI1629380449
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOVEREIGN MEDICAL SERVICES PC
Location Address420 JERICHO TPKE, SUITE 212Jericho, NY 11753-1344
Mailing Address420 Jericho Tpke, Suite 212Jericho, NY 11753-1344 · (516) 277-2121 · Fax (516) 277-2122
Fax(516) 277-2122
Organization SubpartNo
Authorized OfficialJonathan LandowPresident · (516) 277-2121
Enumeration DateJuly 9, 2010
NPI 1629380449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in NY · 176016
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
420 JERICHO TPKE, Jericho, NY 11753

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
420 JERICHO TPKE
JERICHO, NY 11753
Surgery (Vascular Surgery)
420 JERICHO TPKE, SUITE 212
JERICHO, NY 11753
Internal Medicine
420 JERICHO TPKE, SUITE#212
JERICHO, NY 11753
Social Worker
420 JERICHO TPKE
JERICHO, NY 11753
Preferred Provider Organization
420 JERICHO TPKE, SIUTE# 212
JERICHO, NY 11753
Social Worker
420 JERICHO TPKE
JERICHO, NY 11753
Counselor (Mental Health)
420 JERICHO TPKE
JERICHO, NY 11753
Social Worker
420 JERICHO TPKE
JERICHO, NY 11753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sovereign Medical Services PC's NPI number?

The NPI number for Sovereign Medical Services PC is 1629380449. It was assigned to this organization in the NPPES registry on July 9, 2010.

Where is Sovereign Medical Services PC located?

Sovereign Medical Services PC is located at 420 Jericho Tpke Suite 212, Jericho, NY 11753. The listed phone number is (516) 277-2121.

What is Sovereign Medical Services PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Sovereign Medical Services PC was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.