OrganizationActive
Select Surgical Specialists
NPI 1487812418 · Specialist · Wayne, NJ
Provider details
- NPI number
- 1487812418
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kathy Fuentes, Office Manager(973) 790-7655
- License
- MA40452 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
502 Hamburg Tpke
Suite 105
Wayne, NJ 07470-8431
Phone: (973) 790-7655
Fax: (973) 942-8818
Street-level locationGet directions
Mailing address
502 Hamburg Tpke
Wayne, NJ 07470-8431
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2012-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.