Sovereign Medical Group LLC
NPI 1669761110ActiveOrganization· Radiology, Radiation Oncology· Hackensack, NJ
Radiology, Radiation Oncology in Hackensack, New Jersey, registered in NPPES in April 2011, part of Sovereign Medical Group LLC. The authorized official on file is Donald F. Vardaro, Administrative Director.
Overview
| NPI | 1669761110 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sovereign Medical Group LLC |
| NPI issued | Apr 6, 2011 |
| Last updated in NPPES | Jun 9, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Radiation Oncology Primary | 2085R0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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