Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sovereign Medical Group LLC

Organization Radiation Oncology Physician · NPI 1114216660

Sovereign Medical Group LLC is a Radiation Oncology Physician in Jersey City, New Jersey. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

631 Grand St Ste 1-1
Jersey City, NJ 07304
Phone: (201) 880-7580
Fax: (201) 880-7585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X

Record details

NPI number1114216660
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSovereign Medical Group LLC
Authorized official Donald Vardaro — Administrative Director · (201) 880-7580
Other names Jersey City Radiation Therapy Llc
NPI enumeratedApril 6, 2011
Last updated in NPPESJune 9, 2011
Mailing address631 Grand Street, Suite 1-1, Jersey City, NJ 07304

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