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Sovereign Medical Group LLC

Q: What type of organization is Sovereign Medical Group LLC?

Sovereign Medical Group LLC is registered in NPPES as a Diagnostic Radiology Physician (its primary provider taxonomy).

Diagnostic Radiology Physician in Carlstadt, NJ · enumerated 2011 · authorized official John Hajjar, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841589298

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Registry record

Entity type Organization (Type 2)

Legal business name Sovereign Medical Group LLC

Other name <Unavail>

Parent organization Sovereign Medical Group LLC

Practice address 630 Broad St, Carlstadt, NJ, 07072

Phone (201) 372-1020

Fax (201) 372-1028

Enumeration date Apr 6, 2011

Last updated in NPPES Jun 9, 2011

Taxonomy & classification

207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians Secondary

207UN0902X Nuclear Imaging & Therapy Physician Allopathic & Osteopathic Physicians Secondary

2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians Secondary

2085N0700X Neuroradiology Physician Allopathic & Osteopathic Physicians Secondary

2085P0229X Pediatric Radiology Physician Allopathic & Osteopathic Physicians Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary

2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name John Hajjar

Title Ceo

Phone (201) 791-4544

Other identifiers

Identifier	Type	State	Issuer
0133311	Medicaid	NJ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Sovereign Medical Group LLC?

Sovereign Medical Group LLC is registered in NPPES as a Diagnostic Radiology Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-09.