Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeastern Surgical Specialty Group Inc

Organization Surgery Physician · NPI 1457381113

Northeastern Surgical Specialty Group Inc is a Surgery Physician in Forty Fort, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

190 Welles St
Forty Fort, PA 18704-4968
Phone: (570) 283-2323
Fax: (570) 283-1290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1457381113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Kopen — President · (570) 283-2323
NPI enumeratedJuly 5, 2006
Last updated in NPPESNovember 1, 2012
Mailing address190 Welles St, Forty Fort, PA 18704-4968

Other providers in Forty Fort