SOVEREIGN MEDICAL GROUP LLC NPI 1841589298

NPI Information

NPI: 1841589298
Provider Name: SOVEREIGN MEDICAL GROUP LLC

Doing Business As: NEW JERSEY INSTITUTE OF RADIOLOGY PC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
630 BROAD ST
CARLSTADT, NJ
ZIP 07072
Phone: (201) 372-1020
Get Directions

SOVEREIGN MEDICAL GROUP LLC is a diagnostic radiology radiology in Carlstadt, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOVEREIGN MEDICAL GROUP LLC NPI is 1841589298. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As New Jersey Institute Of Radiology Pc.

The provider's business location address is:

630 BROAD ST
CARLSTADT, NJ
ZIP 07072-169
Phone: (201) 372-1020
Fax: (201) 372-1028

The provider's authorized official is John H Hajjar .
The authorized official title is Ceo and has the following contact phone number (201) 791-4544.

The enumeration date for this NPI number is 4/6/2011 and was last updated on 6/9/2011.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
2	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	No
3	2085B0100X	Radiology	Body Imaging	No
4	2085N0700X	Radiology	Neuroradiology	No
5	2085P0229X	Radiology	Pediatric Radiology	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	No
8	2085R0202X	Radiology	Diagnostic Radiology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0133311	MEDICAID	NEW JERSEY
2	115568	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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