Northeastern Surgical Specialists

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHEASTERN SURGICAL SPECIALISTS

Practice address

168 Kinsley St Ste 2
Nashua, NH 03060-3634

Phone

(603) 884-3963

Fax

(603) 578-9539

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Gene Krumanocker

Title

Director

Phone

(866) 991-9868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1235779653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 8TH ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015118",
            "telephone_number": "866-991-9868",
            "fax_number": "828-256-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 KINSLEY ST STE 2",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603634",
            "telephone_number": "603-884-3963",
            "fax_number": "603-578-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "KRUMANOCKER",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-991-9868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Nashua, NH by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.