SOVEREIGN MEDICAL GROUP LLC NPI 1184095754

NPI Information

SOVEREIGN MEDICAL GROUP, LLC is a durable medical equipment medical supplies in Jersey City, NJ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOVEREIGN MEDICAL GROUP, LLC NPI is 1184095754. The provider is registered as an organization entity type.

The provider's business location address is:

631 GRAND ST
SUITE 2-400
JERSEY CITY, NJ
ZIP 07304-451
Phone: (201) 636-6784

The provider's authorized official is John Hajjar .
The authorized official title is Owner and has the following contact phone number (201) 855-8302.

The CLIA number assigned to this NPI record is 31D2167195 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2015 and was last updated on 10/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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