SOVEREIGN MEDICAL GROUP LLC
NPI 1710282082
Urology in Oradell, NJ
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
Specialties & Licenses 15
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sovereign Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Sovereign Medical Group LLC, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 25Fair Lawn, NJ 07410
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJFrequently 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.
Is Sovereign Medical Group LLC enrolled in Medicare?
Yes. Sovereign Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sovereign Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 10 Medicare specialties reassign their Medicare billing to Sovereign Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (9), Podiatry (4) and Pathology (3). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Oscar Health 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 3 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.
# Sovereign Medical Group Llc · NPI 1710282082
Urology organization in Oradell, New Jersey. Organization record, active in the CMS NPPES registry since January 18, 2011.
## Identity
- **NPI:** 1710282082 (Entity type: Organization)
- **Enumerated:** January 18, 2011
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** John Hajjar, CEO
## Practice location
- **Address:** 680 KINDERKAMACK RD, 3RD FLOOR SUITE 300, Oradell, NJ 07649-1600
- **Phone:** (201) 621-0858 · **Fax:** (201) 444-0350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (9), Podiatry (4), Pathology (3); 13 practice within 10 miles; [full list](https://npiprofile.com/npi/1710282082/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710282082) · Data from the CMS NPPES public registry.