Organization Active NPI

Select Surgical Specialists

  • Specialist
  • Wayne, NJ
National Provider Identifier
1487812418
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA40452 Issued in NJ
Legal business name
SELECT SURGICAL SPECIALISTS
Practice address
502 Hamburg Tpke
Suite 105
Wayne, NJ 07470-8431
Phone
(973) 790-7655
Fax
(973) 942-8818
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Miss Kathy Fuentes
Title
Office Manager
Phone
(973) 790-7655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA40452 NJ Primary

Addresses

Primary practice location

502 Hamburg Tpke
Suite 105
Wayne, NJ 07470-8431

Mailing address

502 Hamburg Tpke
Suite 105
Wayne, NJ 07470-8431
Phone (973) 790-7655

National Provider Directory

National Provider Directory

Locations

502 Hamburg Tpke
Ste 105
Wayne, NJ 07470
Phone (973) 384-4444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1487812418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HAMBURG TPKE",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708431",
            "telephone_number": "973-790-7655",
            "fax_number": "973-942-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 HAMBURG TPKE",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708431",
            "telephone_number": "973-790-7655",
            "fax_number": "973-942-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-790-7655",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA40452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.