Active NPI
Jeffrey A. Polansky, M.D.
- Orthopaedic Surgery Physician
- Peabody, MA
National Provider Identifier
1780662486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 48044
- Practice address
- 1 Orthopedic Dr
Peabody, MA 01960-1668 - Phone
- (978) 818-6350
- Fax
- (978) 818-6355
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 48044 | MA | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 48044 | MA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 48044 | MA |
Addresses
Primary practice location
1 Orthopedic Dr
Peabody, MA 01960-1668
Mailing address
1 Orthopedic Dr
Peabody, MA 01960-1668
Phone (978) 818-6350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3039757 | Medicaid | MA | |
| 702090 | Other | MA | TUFTS |
| J02827 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1780662486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ORTHOPEDIC DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6350",
"fax_number": "978-818-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORTHOPEDIC DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6350",
"fax_number": "978-818-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANSKY",
"first_name": "JEFFREY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "48044",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "MA",
"license": "48044",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MA",
"license": "48044",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3039757",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "702090",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J02827",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.