Joseph J Delserra, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD042852E Issued in PA

Practice address

1110 Clay Ave.
Dunmore, PA 18510-2025

Phone

(570) 342-0030

Fax

(570) 342-1729

NPI assigned

Jun 9, 2006

Last updated

Sep 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Surgical Specialists P C

  • Surgery Physician
  • Dunmore, PA
  • NPI 1700933603
  Authorized official Same address or phone

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1093756116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CLAY AVE.",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185102025",
            "telephone_number": "570-342-0030",
            "fax_number": "570-342-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CLAY AVE.",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185102025",
            "telephone_number": "570-342-0030",
            "fax_number": "570-342-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSERRA",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD042852E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189910",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Czulada, D.C.
• Theresa Elizabeth Dakay, M.S., NCC
• David Sabbar PC & MD
• Courtney Leigh Davies, PA-C
• Delores Davis, LSW
• Megan Marie Dembek, MA, ATR-BC, LAPC
• Leslie Ann Dennis
• Olivia Antoinette Depalma
• Mary Louise Depietro
• Depietros Pharmacy LLC

• Surgery Physician in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.