Sovereign Medical Group LLC
NPI 1205125655 · Urology Physician · Fair Lawn, NJ
Sovereign Medical Group LLC is a Urology Physician organization in Fair Lawn, NJ (NPI 1205125655).
Provider details
- NPI number
- 1205125655
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Sovereign Medical Group LLC
- Organization subpart
- Yes
- Authorized official
- John Hajjar, Owner(201) 791-4544
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Clinical Pathology Physician207ZC0006X
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
- Pediatric Urology Physician2088P0231X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Urology Specialtly Care PA
- Doing business as
- Urology Specialtly Care PA
Additional practice locations (1)
- 15-01 BroadwaySuite 1 & 3Fair Lawn, NJ 07410-6003Phone: (201) 791-4544Fax: (201) 794-6970
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2018-05-31
Frequently asked questions
- What is Sovereign Medical Group LLC's NPI number?
- Sovereign Medical Group LLC's National Provider Identifier (NPI) is 1205125655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sovereign Medical Group LLC?
- Sovereign Medical Group LLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Sovereign Medical Group LLC located?
- Sovereign Medical Group LLC's practice location on file with NPPES is 15-01 Broadway, Fair Lawn, NJ 07410.
- What is Sovereign Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Sovereign Medical Group LLC is (201) 791-4544.
- Who is the authorized official for Sovereign Medical Group LLC?
- The authorized official listed on Sovereign Medical Group LLC's NPPES record is John Hajjar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sovereign Medical Group LLC's NPI active?
- Yes — Sovereign Medical Group LLC's NPI (1205125655) is active in the NPPES registry as of the last update on 2018-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.