SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.
NPI 1376077552
Specialist in Beverly, MA

Active since April 14, 2017
30 TOZER RD, BEVERLY, MA 01915(978) 818-6350(978) 818-6355 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2025, Apr 14, 2017 (2 updates tracked since 2017).

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 1376077552) is a healthcare organization registered as a specialist in Beverly, Massachusetts and active in the NPI registry since April 2017. The organization lists Jeffrey Polansky, President, as its authorized official.

NPPES Registry Identity

NPI1376077552
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.
Location Address30 TOZER RDBeverly, MA 01915-5510
Mailing Address1 Orthopedics DrPeabody, MA 01960-1668 · (978) 818-6350 · Fax (978) 818-6355
Fax(978) 818-6355
Organization SubpartNo
Authorized OfficialJeffrey PolanskyPresident · (978) 818-6350
Enumeration DateApril 14, 2017
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1376077552 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.

30 TOZER RD, Beverly, MA 01915

Other Identifiers 1

Medicaid9773363MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Psychiatric/Mental Health)
30 TOZER RD
BEVERLY, MA 01915
Nurse Practitioner (Family)
30 TOZER RD
BEVERLY, MA 01915
Physician Assistant
30 TOZER RD
BEVERLY, MA 01915
Internal Medicine
30 TOZER RD
BEVERLY, MA 01915
Pediatrics
30 TOZER RD
BEVERLY, MA 01915
Nurse Practitioner (Adult Health)
30 TOZER RD
BEVERLY, MA 01915
Registered Nurse (Lactation Consultant)
30 TOZER RD
BEVERLY, MA 01915
Internal Medicine (Nephrology)
30 TOZER RD
BEVERLY, MA 01915

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 1376077552. It was assigned to this organization in the NPPES registry on April 14, 2017.

Where is Sports Medicine North Orthopaedic Surgery, Inc. located?

Sports Medicine North Orthopaedic Surgery, Inc. is located at 30 Tozer Rd, Beverly, MA 01915. 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.

When was this NPI record last updated?

The NPPES record for Sports Medicine North Orthopaedic Surgery, Inc. was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.