Sovereign Medical Group LLC

Organization Active
NPI 1205125655
Urology Physician Fair Lawn, NJ

Sovereign Medical Group LLC is an urology physician located in Fair Lawn, NJ. The NPI was issued on April 6, 2011, and the record was last updated in NPPES on May 31, 2018. The record lists 7 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2018. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X Not listed
Internal Medicine Physician 207R00000X Not listed
Obstetrics & Gynecology Physician 207V00000X Not listed
Clinical Pathology Physician 207ZC0006X Not listed
Radiation Oncology Physician 2085R0001X Not listed
Diagnostic Radiology Physician 2085R0202X Not listed
Pediatric Urology Physician 2088P0231X Not listed

Practice locations

15-01 Broadway
Suite 1 & 3
Fair Lawn, NJ 07410
Phone: (201) 791-4544
15-01 Broadway
Suite 1 & 3
Fair Lawn, NJ 07410-6003
Phone: (201) 791-4544

Local context

Active NPPES records list 1,029 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 102 of them within 10 miles.

The same primary taxonomy is listed by 599 in New Jersey and 19,306 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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