Samuel Kuangzong Chen (NPI# 1508891284, PAC ID# 1456446327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1508891284 |
| PAC ID by PECOS | 1456446327 |
| Professional Enrollment ID | I20071008000170 |
| Full Name | Samuel Kuangzong Chen |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Address |
15-01 Broadway Route 4 W Suite 1 Fairlawn NJ 07410-6006 |
| Phone Number | 2017914544 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1456535392 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310108 | JFK MEDICAL CENTER |
| 310048 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET |
| Address | Phone | Organization |
|---|---|---|
| 760 Bound Brook Rd, Suite B, Dunellen, NJ 08812-1008 | 7323211900 | SOVEREIGN MEDICAL GROUP LLC |
| 15 -01 Broadway Rt 4, Suite 3, Fairlawn, NJ 07410-6006 | 2017914544 | SOVEREIGN MEDICAL GROUP LLC |
| 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 | 2017914544 | SOVEREIGN MEDICAL GROUP LLC |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Bellapianta | Otolaryngology | Sovereign Medical Group LLC | 85 Harristown, Suite 105, Glen Rock, NJ 07452-3307 |
| Raffaella L Kalishman | Internal Medicine | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 104, Glen Rock, NJ 07452-3323 |
| Elliot L Shulman | Urology | Sovereign Medical Group LLC | 807 Kennedy Blvd, Suite A, Bayonne, NJ 07002-2983 |
| Albert O Kwon | Colorectal Surgery (proctology) | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Andranik Howhannesian | Urology | Sovereign Medical Group LLC | 14 -01 Broadway, Suite 3, Fair Lawn, NJ 07410-2008 |
| Jerry Silver | Otolaryngology | Sovereign Medical Group LLC | 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 |
| Joel Abramowitz | Urology | Sovereign Medical Group LLC | 8100 Kennedy Blvd, North Bergen, NJ 07047-4254 |
| Richard Maggio | Urology | Sovereign Medical Group LLC | 2071 Clove Rd J, Staten Island, NY 10304-1612 |
| Scott A Goler | Podiatry | Sovereign Medical Group LLC | 265 E 33rd St, Paterson, NJ 07504-1668 |
| Morteza Shahamat | Internal Medicine | Sovereign Medical Group LLC | 400 Franklin Tpke, Suite 104, Mahwah, NJ 07430-3517 |
| Street Address |
15-01 BROADWAY ROUTE 4 W SUITE 1 |
| City | FAIRLAWN |
| State | NJ |
| Zip | 07410-6006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert O Kwon | Colorectal Surgery (proctology) | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Charles F Asta | Neurology | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Louis G Petcu | Otolaryngology | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Henry Slomowitz | Podiatry | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Joel F Lehrer | Otolaryngology | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Alexander Biener | Gastroenterology | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Morris Tilson | Internal Medicine | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Carole Gelfer | Speech Language Pathologist | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Igor Dmytrienko | Internal Medicine | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 |
| Thomas J Negri | Nurse Practitioner | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Balch | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Rachel Trotter | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Pamela Joyce Ritzler | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Igor Gefter | Psychiatry | 12 -71, Fair Lawn, NJ 07410-1104 | |
| Michael Sherman | Chiropractic | 6 -15 Morlot Ave, Fair Lawn, NJ 07410-1421 | |
| Jeanine E Graves | Optometry | 11 -11 River Rd, Fair Lawn, NJ 07410-1463 | |
| Tahira M Bokhari | Allergy/immunology | 1715 Maple Ave, Fairlawn, NJ 07410-1523 | |
| Michael D Ryan | Physical Therapy | Dmr Rehabilitation | 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552 |
| Jerome I Barr | Rheumatology | 17 -15 Maple Ave, Suite 2, Fair Lawn, NJ 07410-1552 | |
| Daniel T Ryan | Physical Therapy | Dmr Rehabilitation | 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552 |
| Find all physicians in zip 07410 | |||
| City | FAIRLAWN |
| Zip Code | 07410 |
| Specialty | UROLOGY |
| City + Specialty | FAIRLAWN + UROLOGY |
Please comment or provide details below to improve the information on Samuel Kuangzong Chen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.