Sovereign Medical Group LLC
NPI 1710282082 · Urology Physician · Oradell, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sovereign Medical Group LLC is a Urology Physician organization in Oradell, NJ (NPI 1710282082).
Provider details
- NPI number
- 1710282082
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Hajjar, Ceo(201) 834-1100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Clinical Pathology Physician207ZC0006X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Neuroradiology Physician2085N0700X
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
1 documented practice location
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
Registry dates
- Enumerated
- 2011-01-18
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Frequently asked questions
- What is Sovereign Medical Group LLC's NPI number?
- Sovereign Medical Group LLC's National Provider Identifier (NPI) is 1710282082, 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 680 Kinderkamack Rd, Oradell, NJ 07649-1600.
- 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) 621-0858.
- Does Sovereign Medical Group LLC accept Medicare?
- Sovereign Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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, Ceo. 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 (1710282082) is active in the NPPES registry as of the last update on 2023-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.