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:
Map and Directions
Authorized official contact:
Name: Hajjar, John H Doctor of Medicine (MD)
Phone: (201) 791-4544

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205125655 NPPES
New Jersey MEDICAID 7586205

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