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

Andranik Howhannesian

Individual provider Urology Physician · NPI 1174591762

Andranik Howhannesian is an Urology in Fair Lawn, New Jersey. Graduated from Boston University School of Medicine in 1990, 36 years ago. Practices with Sovereign Medical Group LLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
36
Trained at
Boston University School of Medicine
Licensed in
NJ
In the registry since
2006

Practice location Address checks out

14-01 Broadway Ste 3
Fair Lawn, NJ 07410-2008
Phone: (201) 791-4544
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 25MA06432200 (NJ)

Record details

NPI number1174591762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESMay 10, 2018
Mailing address85 Harristown Rd Fl 2, Glen Rock, NJ 07452-3329

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Sovereign Medical Group Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fair Lawn