SHORELINE ORTHOPEDICS & SPORTS MEDICINE, LLC
NPI 1861425597
Orthopaedic Surgery in Essex, CT

Q: What is Shoreline Orthopedics & Sports Medicine, LLC's specialty?

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

Active since July 08, 2006

12 BOKUM RD, ESSEX, CT 06426(860) 767-9053(860) 767-1146 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shoreline Orthopedics & Sports Medicine, Llc NPPES

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

SHORELINE ORTHOPEDICS & SPORTS MEDICINE, LLC (NPI 1861425597) is a healthcare organization registered as an orthopaedic surgery in Essex, Connecticut and active in the NPI registry since July 2006. The organization lists Martin Jeffrey White, Physician Partner, as its authorized official.

NPPES Registry Identity

NPI1861425597

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameSHORELINE ORTHOPEDICS & SPORTS MEDICINE, LLC

Location Address12 BOKUM RDEssex, CT 06426-1500

Mailing Address12 Bokum RdEssex, CT 06426-1500 · (860) 767-9053 · Fax (860) 767-1146

Phone(860) 767-9053

Fax(860) 767-1146

Organization SubpartNo

Authorized OfficialMartin Jeffrey WhitePhysician Partner · (860) 767-9053

Enumeration DateJuly 8, 2006

Last NPPES UpdateDecember 8, 2011

✔ NPI 1861425597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 027273 (CT)

12 BOKUM RD, Essex, CT 06426

Open in Google Maps ↗

Other Identifiers 1

Medicaid004246824CT

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.

BRYAN THOMAS DANNA PA-C

Physician Assistant (Surgical)

12 BOKUM RD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-9053

MR. KEIKHOSROW KAI ABOULIAN PT

Physical Therapist

12 BOKUM RD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-9035

STEVEN MITCHELL LUSTER M.D.

Orthopaedic Surgery

12 BOKUM RD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-9053

MS. KRISTIN LEE MOYNIHAN D.P.T.

Physical Therapist

12 BOKUM RD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-9053

PATRICIA SPARACO PT

Physical Therapist

12 BOKUM RD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-9053

MICHELE ANN MOY DPT

Physical Therapist

12 BOKUM RD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-9035

MR. CRAIG WILLIAM KATKO PT, ATC

Physical Therapist

12 BOKUM RD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-9053

MARK DAVID LORENZE M.D.

Orthopaedic Surgery

12 BOKUM RD
ESSEX, CT 06426

Lower Connecticut River Valley Planning Region (860) 767-9053

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 Shoreline Orthopedics & Sports Medicine, LLC's NPI number?

The NPI number for Shoreline Orthopedics & Sports Medicine, LLC is 1861425597. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Shoreline Orthopedics & Sports Medicine, LLC located?

Shoreline Orthopedics & Sports Medicine, LLC is located at 12 Bokum Rd, Essex, CT 06426. The listed phone number is (860) 767-9053.

What is Shoreline Orthopedics & Sports Medicine, 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 Shoreline Orthopedics & Sports Medicine, LLC was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.