Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sovereign Medical Group LLC

Organization Radiation Oncology Physician · NPI 1669761110

Sovereign Medical Group LLC provides Radiation Oncology Physician services in Hackensack, New Jersey. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

20 Woodridge Ave
Hackensack, NJ 07601-6013 Not confirmed with CMS for 15 years — call before visiting
Phone: (201) 880-7580
Fax: (201) 880-7585
Show map & directions

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

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X

Record details

NPI number1669761110
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSovereign Medical Group LLC
Authorized official Donald Vardaro — Administrative Director · (201) 880-7580
Other names Hackensack Radiation Therapy Llc
NPI enumeratedApril 6, 2011
Last updated in NPPESJune 9, 2011
Mailing address20 Woodridge Ave, Hackensack, NJ 07601-6013

Other providers in Hackensack