Sovereign Medical Group LLC
NPI 1710282082 belongs to Sovereign Medical Group LLC, an urology physician with a practice location in Oradell, NJ. The NPI was issued on January 18, 2011, and the record was last updated in NPPES on September 12, 2023. The record lists 15 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | (NJ) |
| Internal Medicine Physician | 207R00000X | (NJ) |
| Gastroenterology Physician | 207RG0100X | (NJ) |
| Obstetrics & Gynecology Physician | 207V00000X | (NJ) |
| Clinical Pathology Physician | 207ZC0006X | (NJ) |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | (NJ) |
| Neuroradiology Physician | 2085N0700X | (NJ) |
| Radiation Oncology Physician | 2085R0001X | (NJ) |
| Diagnostic Radiology Physician | 2085R0202X | (NJ) |
| Vascular & Interventional Radiology Physician | 2085R0204X | (NJ) |
| Diagnostic Ultrasound Physician | 2085U0001X | (NJ) |
| Surgery Physician | 208600000X | (NJ) |
| Pediatric Urology Physician | 2088P0231X | (NJ) |
| Colon & Rectal Surgery Physician | 208C00000X | (NJ) |
| Clinical Medical Laboratory | 291U00000X | Not listed |
Practice location
3rd Floor Suite 300
Oradell, NJ 07649-1600
Local context
Active NPPES records list 1,035 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 138 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
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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