SOVEREIGN MEDICAL GROUP LLC
SOVEREIGN MEDICAL GROUP LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1710282082, based in Oradell, NJ. The organization lists 15 taxonomy classifications, with Urology Physician recorded as primary.
Getting there
The practice address on file is 680 KINDERKAMACK RD 3RD FLOOR SUITE 300, Oradell, NJ 07649. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1456535392
Enrolled in Medicare 3 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New Jersey | O20110418000519 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20120807000680 | Dme Supplier - Physician - Urology |
| New York | O20150603002520 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 3 separate enrolment records across 2 states (NJ, NY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Urology covers
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208800000X | Urology Physician | — | NJ | primary |
| 207R00000X | Internal Medicine Physician | — | NJ | |
| 207RG0100X | Gastroenterology Physician Gastroenterology | — | NJ | |
| 207V00000X | Obstetrics & Gynecology Physician | — | NJ | |
| 207ZC0006X | Clinical Pathology Physician Clinical Pathology | — | NJ | |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician Diagnostic Neuroimaging | — | NJ | |
| 2085N0700X | Neuroradiology Physician Neuroradiology | — | NJ | |
| 2085R0001X | Radiation Oncology Physician Radiation Oncology | — | NJ | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | NJ | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | NJ | |
| 2085U0001X | Diagnostic Ultrasound Physician Diagnostic Ultrasound | — | NJ | |
| 208600000X | Surgery Physician | — | NJ | |
| 2088P0231X | Pediatric Urology Physician Pediatric Urology | — | NJ | |
| 208C00000X | Colon & Rectal Surgery Physician | — | NJ | |
| 291U00000X | Clinical Medical Laboratory | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1710282082 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 18, 2011 |
| Last updated | Sep 12, 2023 |
| Status | Active |
| Practice address |
680 KINDERKAMACK RD 3RD FLOOR SUITE 300 Oradell, NJ 07649 (201) 621-0858 Fax (201) 444-0350 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 1 | 0 | 2 | 8 | 2 | 0 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 2 | 0 | 4 | 8 | 4 | 0 | 7 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.