Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sovereign Medical Services, PC

Organization Vascular Surgery Physician · NPI 1538451810

Sovereign Medical Services, PC provides Vascular Surgery Physician services in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 5th Ave Ground Fl
New York, NY 10028-0110 Not confirmed with CMS for 15 years — call before visiting
Phone: (516) 277-2121
Fax: (516) 277-2122
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 217344 (NY)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 184141 (NY)

Record details

NPI number1538451810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Landow — President · (516) 277-2121
NPI enumeratedMay 5, 2011
Last updated in NPPESMay 5, 2011
Mailing address420 Jericho Tpke, Suite 212, Jericho, NY 11753-1344

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