SOVEREIGN MEDICAL GROUP LLC
NPI 1710282082
Urology in Oradell, NJ
- Organization
- Urology
- Accepts Insurance
- CLIA Number: 31D2167186
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-03-2027
About SOVEREIGN MEDICAL GROUP LLC
This page provides the complete NPI Profile along with additional information for Sovereign Medical Group Llc, a provider established in Oradell, New Jersey operating as a Urology. The healthcare provider is registered in the NPI registry with number 1710282082 assigned on January 2011. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Sovereign Medical Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is John H. Hajjar (Ceo)
- NPI
- 1710282082 Verify this NPI
- Provider Name
- SOVEREIGN MEDICAL GROUP LLC
- Entity Type
- Organization
- Location Address
- 680 KINDERKAMACK RD 3RD FLOOR SUITE 300 ORADELL, NJ 07649
- Location Phone
- (201) 621-0858
- Location Fax
- (201) 444-0350
- Mailing Address
- 680 KINDERKAMACK RD SUITE 300 3RD FLOOR ORADELL, NJ 07649
- Mailing Phone
- (201) 834-1100
- Mailing Fax
- (201) 444-0350
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2011
- Last Update Date
- 09-12-2023
- Code Navigator
Location Map
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
- License State
- NJ
- 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 | (NJ) |
| 2 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | (NJ) |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | (NJ) |
| 4 | 207ZC0006X | Allopathic & Osteopathic Physicians | Pathology | (NJ) |
| 5 | 2085D0003X | Allopathic & Osteopathic Physicians | Radiology | (NJ) |
| 6 | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology | (NJ) |
| 7 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | (NJ) |
| 8 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | (NJ) |
| 9 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | (NJ) |
| 10 | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | (NJ) |
| 11 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | (NJ) |
| 12 | 2088P0231X | Allopathic & Osteopathic Physicians | Urology | (NJ) |
| 13 | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | (NJ) |
| 14 | 291U00000X | Laboratories | Clinical Medical Laboratory |
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:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 31D2167186
- 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 Sovereign Medical Group Llc 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.
Reviews for SOVEREIGN MEDICAL GROUP LLC
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
ORADELL, NJ 07649
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710282082, enumerated as an "organization" on January 18, 2011.
The provider is located at 680 KINDERKAMACK RD 3RD FLOOR SUITE 300 ORADELL, NJ 07649 and the phone number is (201) 621-0858.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.
