NPIMap

Organization Active NPI

Sovereign Medical Services, PC

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1538451810
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
217344 Issued in NY
Legal business name
SOVEREIGN MEDICAL SERVICES, PC
Practice address
1050 5TH Ave
Ground Floor
New York, NY 10028-0110
Phone
(516) 277-2121
Fax
(516) 277-2122
NPI assigned
May 5, 2011
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan S Landow, M.D.NPI 1508139007
Title
President
Phone
(516) 277-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 184141 NY
Vascular Surgery Physician 2086S0129X 217344 NY Primary

Addresses

Primary practice location

1050 5TH Ave
Ground Floor
New York, NY 10028-0110

Mailing address

420 Jericho Tpke
Suite 212
Jericho, NY 11753-1344
Phone (516) 277-2121

National Provider Directory

National Provider Directory
Tax ID family
Sovereign Medical Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1538451810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 JERICHO TPKE",
            "address_2": "SUITE 212",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531344",
            "telephone_number": "516-277-2121",
            "fax_number": "516-277-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 5TH AVE",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280110",
            "telephone_number": "516-277-2121",
            "fax_number": "516-277-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "LANDOW",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-277-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "184141",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "217344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.