1. Home
  2. Directory
  3. Massachusetts
  4. Dedham
  5. Orthopaedic Surgery
  6. NPI Profile

BOSTON SPORTS & SHOULDER CENTER
NPI 1619163052
Orthopaedic Surgery in Dedham, MA

Active since September 19, 2007
40 ALLIED DR, DEDHAM, MA 02026(617) 264-1100(617) 264-1101 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boston Sports & Shoulder Center NPPES

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

BOSTON SPORTS & SHOULDER CENTER (NPI 1619163052) is a healthcare organization registered as an orthopaedic surgery in Dedham, Massachusetts and active in the NPI registry since September 2007. The organization maintains a secondary practice location in Waltham and lists Jonathan Shaker, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619163052
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBOSTON SPORTS & SHOULDER CENTER,LLC
Location Address40 ALLIED DRDedham, MA 02026-6146
Mailing Address840 Winter StWaltham, MA 02451-1433 · (781) 890-2133 · Fax (781) 890-2177
Phone(617) 264-1100
Fax(617) 264-1101
Organization SubpartNo
Authorized OfficialJonathan ShakerExecutive Director · (781) 890-2133
Enumeration DateSeptember 19, 2007
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1619163052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
40 ALLIED DR, Dedham, MA 02026
Open in Google Maps ↗

Other Names 1

Doing Business AsBoston Sports & Shoulder Center

Secondary Practice Location 1

Location 1840 Winter StWaltham, MA 02451-1433 · Phone (781) 890-2133 · Fax (781) 890-2177

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

Other Providers at the Same Location NPPES 9

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

NORTHEAST ORTHOPAEDIC ALLIANCE PLLC
Durable Medical Equipment & Medical Supplies
40 ALLIED DR
DEDHAM, MA 02026
Norfolk County (617) 264-1100
MR. SEAN PATRICK KELLY PA-C
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
40 ALLIED DR
DEDHAM, MA 02026
Norfolk County (617) 264-1100
DR. THOMAS J. GILL IV M.D.
Orthopaedic Surgery (Sports Medicine)
40 ALLIED DR
DEDHAM, MA 02026
Norfolk County (617) 264-1100
EXCEL ANESTHESIA ASSOCIATES PLLC
Anesthesiology
40 ALLIED DR
DEDHAM, MA 02026
Norfolk County (617) 865-1110
ORTHOPEDIC AND MEDICAL ASSOCIATES, LLC
Physician Assistant
40 ALLIED DR
DEDHAM, MA 02026
Norfolk County (617) 797-3398
CATHARINE HALPIN
Specialist/Technologist (Athletic Trainer)
40 ALLIED DR
DEDHAM, MA 02026
Norfolk County (860) 670-5971
CASSIE MCENERY CRNA
Nurse Anesthetist, Certified Registered
40 ALLIED DR
DEDHAM, MA 02026
Norfolk County (401) 374-0358
MASSACHUSETTS BAY REGIONAL MRI LIMITED PARTNERSHIP
Clinic/Center (Magnetic Resonance Imaging (MRI))
40 ALLIED DR, STE 112
DEDHAM, MA 02026
Norfolk County (781) 329-3201

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 Boston Sports & Shoulder Center,llc's NPI number?

The NPI number for Boston Sports & Shoulder Center,llc is 1619163052. It was assigned to this organization in the NPPES registry on September 19, 2007. The provider is doing business as Boston Sports & Shoulder Center.

Where is Boston Sports & Shoulder Center,llc located?

Boston Sports & Shoulder Center,llc is located at 40 Allied Dr, Dedham, MA 02026. The listed phone number is (617) 264-1100.

What is Boston Sports & Shoulder Center,llc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Boston Sports & Shoulder Center,llc was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.