New Jersey Institute Of Radiology Pc

LBN: Sovereign Medical Group Llc
New Jersey Institute Of Radiology Pc is an health care organization with primary practice located at 630 Broad St , Carlstadt NJ 07072-1169. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Sovereign Medical Group Llc can be contacted via phone (201) 372-1020, or through Hajjar, John H via phone (201) 791-4544.

Contact Information

Primary practice address
630 Broad St Carlstadt NJ 07072-1169
Phone: (201) 372-1020
Fax: (201) 372-1028
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 / Nuclear Cardiology 207UN0901X
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X

Profile Details

NPI number 1841589298
LBN Legal business name Sovereign Medical Group Llc
DBA Doing business as New Jersey Institute Of Radiology Pc
Authorized official Hajjar, John H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 6th, 2011
Last updated Jun 9th, 2011 - about 15 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 1841589298 NPPES
New Jersey MEDICAID 0133311

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