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

Sovereign Medical Group LLC

Organization Internal Medicine Physician · NPI 1710282082

Sovereign Medical Group LLC is an Internal Medicine Physician in Oradell, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
Specialties on file
15
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

680 Kinderkamack Rd 3rd Fl Ste 300
Oradell, NJ 07649-1600
Phone: (201) 621-0858
Fax: (201) 444-0350
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (NJ)
Internal Medicine Physician Taxonomy 207R00000X (NJ)
Gastroenterology Physician Taxonomy 207RG0100X (NJ)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (NJ)
Clinical Pathology Physician Taxonomy 207ZC0006X (NJ)
Diagnostic Neuroimaging (Radiology) Physician Taxonomy 2085D0003X (NJ)
Neuroradiology Physician Taxonomy 2085N0700X (NJ)
Radiation Oncology Physician Taxonomy 2085R0001X (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X (NJ)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X (NJ)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X (NJ)
Surgery Physician Taxonomy 208600000X (NJ)
Pediatric Urology Physician Taxonomy 2088P0231X (NJ)
Colon & Rectal Surgery Physician Taxonomy 208C00000X (NJ)
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1710282082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Hajjar — Ceo · (201) 834-1100
NPI enumeratedJanuary 18, 2011
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address680 Kinderkamack Rd, Suite 300 3rd Floor, Oradell, NJ 07649-1600

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