Urology Specialtly Care Pa
LBN: Sovereign Medical Group Llc
Urology Specialtly Care Pa is an health care organization with primary practice located at 15-01 Broadway Suite 1 & 3, Fair Lawn NJ 07410. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty.
Sovereign Medical Group Llc can be contacted via phone (201) 791-4544, or through Hajjar, John H via phone (201) 791-4544.
Contact Information
Primary practice address
15-01 Broadway Suite 1 & 3
Fair Lawn NJ 07410
Phone: (201) 791-4544
Fax: (201) 794-6970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X |
Profile Details
| NPI number | 1205125655 |
|---|---|
| LBN Legal business name | Sovereign Medical Group Llc |
| DBA Doing business as | Urology Specialtly Care Pa |
| Authorized official | Hajjar, John H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 6th, 2011 |
| Last updated | May 31st, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205125655 | NPPES |
| New Jersey | MEDICAID | 7586205 |
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