UROLOGY SPECIALTLY CARE PA – NPI #1205125655
Urology
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.
UROLOGY SPECIALTLY CARE PA is an urologist located in FAIR LAWN, NJ. NPPES has assigned the NPI number 1205125655 to UROLOGY SPECIALTLY CARE PA on April 06, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UROLOGY SPECIALTLY CARE PA” is a dba name, the actual legal business name for this organization is SOVEREIGN MEDICAL GROUP LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 8 years ago on May 31, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UROLOGY SPECIALTLY CARE PA below.
NPI Profile for
SOVEREIGN MEDICAL GROUP LLC
(more than 15 years ago)
SUITE 1 & 3
FAIR LAWN, NJ 07410 Phone: (201) 791-4544 Fax: (201) 794-6970
1 Other location(s):
Suite 1 & 3
Fair Lawn, NJ 07410-6003
Phone: (201) 791-4544
Fax: (201) 794-6970
GLEN ROCK, NJ 07452-3329 Phone: (201) 855-8446 Fax: (201) 444-0350
OWNER
Phone: (201) 791-4544
Identifiers for UROLOGY SPECIALTLY CARE PA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NJ | 7586205 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208800000X - Urology (Primary) |
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| 2088P0231X - Urology / Pediatric Urology |
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| 2085R0202X - Radiology / Diagnostic Radiology |
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| 2085R0001X - Radiology / Radiation Oncology |
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| 207ZC0006X - Pathology / Clinical Pathology |
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| 207V00000X - Obstetrics & Gynecology |
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| 207R00000X - Internal Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.