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SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
NPI 1033400023
Specialist in Peabody, MA

Active since April 25, 2011CLIA 22D2016533 · Waiver
1 ORTHOPEDICS DR, 2ND FLOOR, PEABODY, MA 01960(978) 818-6350(978) 818-6355 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sports Medicine North Orthopaedic Surgery, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC (NPI 1033400023) is a healthcare organization registered as a specialist in Peabody, Massachusetts and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Jeffrey Polansky, President, as its authorized official.

NPPES Registry Identity

NPI1033400023
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
Location Address1 ORTHOPEDICS DR, 2ND FLOORPeabody, MA 01960-1668
Mailing Address1 Orthopedics Dr, 2nd FloorPeabody, MA 01960-1668 · (978) 818-6350 · Fax (978) 818-6355
Phone(978) 818-6350
Fax(978) 818-6355
Organization SubpartYes
Authorized OfficialJeffrey PolanskyPresident · (978) 818-6350
Enumeration DateApril 25, 2011
✔ NPI 1033400023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1 ORTHOPEDICS DR, Peabody, MA 01960
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Other Identifiers 2

Medicare PINM15814MA
Medicaid9773363MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2016533

Sports Medicine North Orthopaedic Surgery Inc · Peabody, MA
Active · expires Nov 18, 2026
CLIA Number22D2016533
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorDr. Sharmila Mudgal
Laboratory Phone(978) 818-6350
Laboratory LocationSports Medicine North Orthopaedic Surgery Inc1 Orthopedics Drive Lower Level, Peabody, MA 01960
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARETT S LANDMAN PA-C
Physician Assistant (Surgical)
1 ORTHOPEDICS DR
PEABODY, MA 01960
Essex County (978) 818-6350
KIMBERLY DOWLING PA-C
Physician Assistant (Surgical)
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Essex County (978) 818-6350
BOJAN BRIAN ZORIC MD
Orthopaedic Surgery (Sports Medicine)
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Essex County (978) 818-6350
STEVEN MATTHEOS M.D.
Orthopaedic Surgery
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Essex County (978) 818-6350
MR. GARY B SALVADOR PA C
Orthopaedic Surgery
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Essex County (978) 818-6350
GLENN C LAMBERT COTA
Occupational Therapy Assistant
1 ORTHOPEDICS DR
PEABODY, MA 01960
Essex County (978) 818-6260
JOSEPH J EVANS D.O.
Anesthesiology
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Essex County (978) 818-6350
MS. WENDY RENEE QUIGLEY
Physical Therapy Assistant
1 ORTHOPEDICS DR
PEABODY, MA 01960
Essex County (978) 818-6260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sports Medicine North Orthopaedic Surgery, Inc's NPI number?

The NPI number for Sports Medicine North Orthopaedic Surgery, Inc is 1033400023. It was assigned to this organization in the NPPES registry on April 25, 2011.

Where is Sports Medicine North Orthopaedic Surgery, Inc located?

Sports Medicine North Orthopaedic Surgery, Inc is located at 1 Orthopedics Dr 2nd Floor, Peabody, MA 01960. The listed phone number is (978) 818-6350.

What is Sports Medicine North Orthopaedic Surgery, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Sports Medicine North Orthopaedic Surgery, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2016533) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sports Medicine North Orthopaedic Surgery, Inc was last updated on April 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.