Northeastern Surgical Specialists P C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTHEASTERN SURGICAL SPECIALISTS P C

Practice address

1110 Clay Ave.
Dunmore, PA 18510-2025

Phone

(570) 342-0030

Fax

(570) 342-1729

NPI assigned

Jan 4, 2007

Last updated

Sep 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Delserra, M.D.NPI 1093756116

Title

President

Phone

(570) 342-0030

Specialties & licenses 1

Addresses

Locations

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.

• Joseph J Delserra, M.D.

  • Surgery Physician
  • Dunmore, PA
  • NPI 1093756116
  Authorized official Same address or phone

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1700933603",
    "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": {
        "organization_name": "NORTHEASTERN SURGICAL SPECIALISTS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "DELSERRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-342-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast PA Neuro-Spine, P.C.
• Northeast Pain Specialists LLC
• Northeast Radiation Oncology Center
• Northeastern Occupational Medicine & Rehabilitation Center, P.C.
• Northeastern Pennsylvania Plastic Surgery Associates LTD
• Northland Hearing Centers, Inc. (Audibel Hearing Care Centers)
• Gregg J. Novak, D.O.
• NS Hearing Network (Audibel of NEPA)
• Nutrition Counseling Services Inc
• Elaine A Odonnell, DPM

• 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.