SOVEREIGN MEDICAL GROUP LLC
NPI 1710282082
Urology in Oradell, NJ

Q: What is Sovereign Medical Group LLC's NPI number?

The NPI number for Sovereign Medical Group LLC is 1710282082. It was assigned to this organization in the NPPES registry on January 18, 2011.

Q: What is Sovereign Medical Group LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since January 18, 2011CLIA 31D2167186 · Waiver

680 KINDERKAMACK RD, 3RD FLOOR SUITE 300, ORADELL, NJ 07649(201) 621-0858(201) 444-0350 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2022, May 10, 2018 (2 updates tracked since 2018).

On this page

About Sovereign Medical Group Llc NPPES

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

SOVEREIGN MEDICAL GROUP LLC (NPI 1710282082) is a healthcare organization registered as an urology in Oradell, New Jersey and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists John H. Hajjar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710282082

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameSOVEREIGN MEDICAL GROUP LLC

Location Address680 KINDERKAMACK RD, 3RD FLOOR SUITE 300Oradell, NJ 07649-1600

Mailing Address680 Kinderkamack Rd, Suite 300 3rd FloorOradell, NJ 07649-1600 · (201) 834-1100 · Fax (201) 444-0350

Phone(201) 621-0858

Fax(201) 444-0350

Organization SubpartNo

Authorized OfficialJohn H. HajjarCeo · (201) 834-1100

Enumeration DateJanuary 18, 2011

Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1710282082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X

Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

680 KINDERKAMACK RD, Oradell, NJ 07649

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2167186

Sovereign Medical Group LLC · Oradell, NJ

Active · expires Jun 3, 2027

CLIA Number31D2167186

Laboratory TypePhysician Office

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorJohn H. Hajjar

Laboratory Phone(201) 855-8477

Laboratory LocationSovereign Medical Group LLC680 Kinderkamack Rd Suite 300, Oradell, NJ 07649

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

CRISTINA MARGARITA SAIZ RODRIGUEZ M.D.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

680 KINDERKAMACK RD, SUITE 204
ORADELL, NJ 07649

Bergen County (201) 391-5443

ORADELL AMBULATORY SURGERY CENTER,LLC

Clinic/Center (Ambulatory Surgical)

680 KINDERKAMACK RD, SUITE 100
ORADELL, NJ 07649

Bergen County (201) 367-2273

INTERVENTIONAL PAIN MEDICINE OF NEW JERSEY, LLC

Pain Medicine (Interventional Pain Medicine)

680 KINDERKAMACK RD
ORADELL, NJ 07649

Bergen County (201) 487-7246

PAUL C HASHAGEN PA-C

Physician Assistant

680 KINDERKAMACK RD
ORADELL, NJ 07649

Bergen County (201) 342-2550

ALYSON BUTLER PA

Physician Assistant

680 KINDERKAMACK RD, SUITE 200
ORADELL, NJ 07649

Bergen County (201) 666-4200

JEFFRY L JACOBS D.O., FACOS

Plastic Surgery (Surgery of the Hand)

680 KINDERKAMACK RD, SUITE 205
ORADELL, NJ 07649

Bergen County (201) 969-9900

OLEG RIVKIN PA-C

Physician Assistant (Surgical)

680 KINDERKAMACK RD, SUITE 300
ORADELL, NJ 07649

Bergen County (201) 741-2550

DR. ROSEMARIE VALA STEWART PH.D.

Psychologist

680 KINDERKAMACK RD, SUITE 205
ORADELL, NJ 07649

Bergen County (917) 647-8053

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 Group LLC's NPI number?

The NPI number for Sovereign Medical Group LLC is 1710282082. It was assigned to this organization in the NPPES registry on January 18, 2011.

Where is Sovereign Medical Group LLC located?

Sovereign Medical Group LLC is located at 680 Kinderkamack Rd 3rd Floor Suite 300, Oradell, NJ 07649. The listed phone number is (201) 621-0858.

What is Sovereign Medical Group LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Sovereign Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2167186) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sovereign Medical Group LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sovereign Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sovereign Medical Group LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.