Services
North Shore Pediatrics is committed to delivering exceptional, family-centered medical care for infants, children, and adolescents. Our experienced team provides a comprehensive range of services designed to support every stage of your child’s growth and development—from preventive care and wellness visits to specialized evaluations and procedures. We place your child’s health and well-being at the center of everything we do, coordinating closely with families and, when needed, facilitating referrals to trusted specialists to ensure seamless, high-quality care.
Well/Preventive Care
Well-child examinations are essential for monitoring a child's health, growth, and development. During these visits, a thorough physical examination will be conducted, and discussions will cover various topics, including the child's nutritional needs, sleep patterns, academic progress, and any other relevant concerns. Appropriate immunizations will also be administered based on the child's age. These appointments provide caregivers with an excellent opportunity to ask any questions they may have about their child's health.
Immunizations are a vital part of well-child care and play a crucial role in preventive health. The providers at North Shore Pediatrics are committed to the effectiveness of vaccines in preventing serious illnesses and protecting lives. We firmly believe in the safety of vaccines and strongly advocate that all children and young adults receive the recommended vaccinations as outlined by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP). Choosing not to vaccinate puts our other patients, our staff, and the broader community at risk. Our experiences with patients and families suggest that those who are entirely opposed to routine immunizations or who significantly disagree with our vaccination policy may struggle to establish a positive physician-patient and family relationship.
**Vaccination Policy**
At North Shore Pediatrics, PC, we are committed to maintaining a safe and healthy environment for our staff and patients who are immunocompromised. Therefore, we reserve the right to establish our office as a vaccine-preventable disease-free space.
Families may decline the following vaccines, although we strongly recommend them:
- Rotavirus vaccine
- Hepatitis A vaccine
- Human Papillomavirus (HPV) vaccine
- Influenza vaccine
- COVID-19 vaccine
- RSV vaccine
All childhood immunizations must begin by 2 months (8 weeks) of age at the latest. If the required vaccines are not administered according to this timeline, we reserve the right to discharge your family from our care.
Vaccines will be given as below in our office as a patient of North Shore Pediatrics, PC
Hepatitis B#1 will be given at birth in the Hospital
2 Month Physical: Vaxelis#1, PCV20#1, Rotavirus#1
4 Month Physical: Vaxelis#2, PCV20#2, Rotavirus#2
6 Month Physical: Vaxelis#3, PCV20#3
9 Month Physical: No regularly scheduled vaccines
12 Month Physical: PCV20#4, HepA#1, Lead and Hemoglobin Check (May also get MMRV vaccine or wait until 15-16mo physical)
15-16 Month Physical: MMRV vaccine
18-20 Month Physical: Pentacel Vaccine, HepA#2
2 Year Physical: Lead and Hemoglobin Check
3 Year Physical: Lead and Hemoglobin Check
4 Year Physical: Kinrix, MMRV #2
5 Year Physical: Vision and Hearing Exam, No regularly scheduled vaccines
11 Year Physical: TDaP#1, MCV4#1 (Meningitis A,C,W,Y), HPV #1 (6-12mo later HPV#2)
16 Year Physical: MCV4#2 (Meningitis A,C,W,Y)
17 or 18 Year Physical: Meningitis B #1. 4 weeks later Meningitis B#2.
Vaxelis= DTaP, HepB, HIB, IPV
Pentacel= DTaP, HIB, IPV
MMRV= Measles, Mumps, Rubella, Varicella
Kinrix= DTaP, IPV
PCV20= Pneumococcal conjugate 20-valent
Please note that we are unable to separate some vaccines, nor is it advisable to separate combination vaccines. Furthermore, we do not provide a religious exemption.
Sick/Urgent Care
At North Shore Pediatrics, we understand that when your child is sick, you want answers and care as soon as possible. Our providers and nurses are dedicated to ensuring your child receives timely, compassionate medical attention.
Weekday Sick Visits
You can call our office at any time to discuss your child’s symptoms. During business hours, one of our nurses will speak with you to help determine the best course of action. If your child’s condition appears manageable at home, our nursing team will provide clear guidance on home care and what warning signs to watch for. If your child needs an in-office evaluation, we will make every effort to schedule a same-day appointment.
You can also access reliable information about common childhood symptoms using the KidsDoc Symptom Checker provided by the American Academy of Pediatrics.
Weekend and Holiday Urgent Care
Weekend and holiday urgent care is available for children who are acutely ill or injured and cannot safely wait until the next business day. Please call our office promptly at 8:00 a.m. on weekends or holidays. Your child’s condition will be triaged by our clinical staff to determine whether an in-office visit is necessary or if at-home management is more appropriate.
It is important to note that weekend and holiday urgent care is not the same as convenient care. These appointments are reserved for urgent medical issues such as fever, ear pain, sore throat, or minor injuries—not for routine follow-ups, well visits, or prescription refills.
Prescription Refills
Prescription refills are processed during regular business hours only. Refills are not completed on weekends or holidays. To avoid delays, please request refills at least 48 hours before your child’s medication is expected to run out. For medications that require monitoring or follow-up, an appointment may be necessary before renewal.
Our Commitment
We are committed to providing prompt, high-quality care for every child while maintaining safe and efficient clinical operations. By following these guidelines, we can ensure that urgent needs are prioritized appropriately and every family receives the care and attention they deserve.
Behavioral Health and ADHD Evaluation
At North Shore Pediatrics, we recognize the importance of identifying and supporting children with behavioral, emotional, or school-related challenges. Our goal is to work in partnership with families to better understand each child’s unique needs and provide guidance, treatment, or referrals to ensure optimal well-being and academic success.
Comprehensive Evaluation and Support
Behavioral health evaluations begin with a detailed consultation with one of our experienced providers. During this visit, we review your child’s developmental history, school performance, social interactions, and emotional health. Depending on the nature of the concerns, our provider may complete the evaluation in-office or refer your child to a trusted specialist for further assessment.
We encourage parents to reach out if they notice changes in mood, attention, behavior, or academic performance. Early identification and intervention can make a significant difference in a child’s emotional development and long-term success.
Understanding ADHD
Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common neurodevelopmental conditions in childhood. It can present with varying degrees of inattention, hyperactivity, and impulsivity. Because these behaviors often overlap with typical childhood traits, diagnosis requires careful evaluation.
Physicians rely on input from parents, teachers, and caregivers who observe the child in different settings to determine how symptoms affect daily functioning.
Diagnostic Process
Determining whether a child has ADHD is a multi-step process. Since other conditions—such as anxiety, depression, or learning disabilities—can produce similar symptoms, a comprehensive evaluation is essential. This may include:
• Detailed clinical interview and developmental history
• Parent and teacher behavior questionnaires
• Review of school reports and academic performance
• Neuropsychological or educational testing
• Referral for specialized developmental or psychological evaluation
Treatment and Management Options
When ADHD is diagnosed, our providers work collaboratively with families to create an individualized care plan. Potential strategies include:
• Behavioral intervention and therapy
• Parent education and support programs
• School-based accommodations
• Medication management when appropriate
Our team is committed to helping families navigate the evaluation and treatment process with compassion and expertise—helping each child reach their full academic, social, and emotional potential.
Mental and Emotional Health Care
At North Shore Pediatrics, we recognize that mental and emotional well-being are essential components of overall health. Our pediatricians and nurse practitioners are knowledgeable, compassionate, and committed to providing appropriate mental health support for children and adolescents who need it.
Initial Consultation and Evaluation
Care begins with a comprehensive consultation to better understand your child’s symptoms, concerns, and daily functioning. During this visit, our providers assess emotional, behavioral, and social factors that may be affecting your child’s well-being and development.
We discuss whether therapy may be beneficial and, when appropriate, provide recommendations for trusted local therapists and counseling resources. Families may also receive a list of helpful counselors in the community at the time of the visit.
Therapy and Counseling Referrals
We strongly believe in the benefits of psychotherapy and counseling as a first-line treatment for many emotional and behavioral concerns, including anxiety, depression, adjustment issues, and stress management. Our goal is to connect families with skilled, evidence-based providers who can offer the right level of care and support.
Medication Management
For patients who may benefit from medication, our providers are experienced in prescribing basic psychopharmacologic treatments for conditions such as anxiety and depression. When more complex medication management is required, we coordinate referrals to child psychiatrists or specialized mental health providers in the area to ensure continuity and safety of care.
Our Commitment
North Shore Pediatrics is dedicated to addressing both the physical and emotional needs of every patient. We approach mental health care with empathy, professionalism, and collaboration—working closely with families and community providers to help children and teens achieve balance, resilience, and confidence in their daily lives.
To schedule a consultation, please call our office at (978) 406-4234.
Adolescent Care
The adolescent years mark an important transition from childhood dependence to independent young adulthood. At North Shore Pediatrics, our providers are committed to guiding teens and their families through this stage with compassion, education, and respect for growing autonomy.
Comprehensive Adolescent Visits
During well visits, we address the full spectrum of health topics relevant to adolescents, including:
• Normal physical and emotional changes of puberty
• Nutritional needs for healthy growth and development
• The impact of social media, technology, and screen time
• Academic pressures and social challenges at school or in extracurricular activities
We also begin important conversations about risk behaviors, mental health, sexuality, and peer influences. These discussions are handled in a supportive, judgment-free manner that encourages openness and trust.
Encouraging Independence and Confidentiality
As part of each visit, our providers typically spend a few minutes alone with adolescent patients. This time allows teens to ask questions privately, express concerns, and begin to take an active role in their own health care decisions. We emphasize the importance of confidentiality while maintaining communication with parents to ensure safety and collaboration.
Our Goal
Our goal is to help adolescents develop confidence, self-awareness, and responsibility for their health while preserving strong family support. By balancing guidance, independence, and privacy, we help young people navigate this formative stage of life and build a foundation for lifelong wellness.
Pediatric Sports Medicine and Injury Care
If your child or teen experiences an injury or medical condition that impacts sports participation, physical activity, or exercise, the providers at North Shore Pediatrics are here to help. Our clinicians are experienced in evaluating and treating youth-specific injuries with a focus on safe recovery and long-term health.
Because children and adolescents are still growing, their bones, muscles, ligaments, and joints respond differently to stress and injury than those of adults. Early evaluation and proper treatment are essential to prevent complications and promote healthy development.
Comprehensive Evaluation and Treatment
Our team has expertise in managing a wide range of pediatric musculoskeletal conditions, including:
• Sports-related and overuse injuries
• Sprains, strains, and simple fractures requiring splinting or bracing
• Growth plate and joint injuries
• Muscle, tendon, and ligament conditions
• Concussions and other head injuries
When necessary, our providers coordinate referrals for advanced care such as Concierge Physical Therapy or Pediatric Orthopedics, ensuring your child receives comprehensive and seamless follow-up.
Concussion Care and ImPACT Testing
North Shore Pediatrics provides high-quality care for children and teens who have sustained a head injury or suspected concussion. Our approach includes a detailed clinical evaluation and, when appropriate, cognitive testing using the ImPACT™ program—an evidence-based tool used to assess and manage concussion recovery.
Our goal is to guide young athletes safely back to school, sports, and daily activities while minimizing the risk of re-injury.
Appointments and Contact
To schedule an appointment or consultation, please call our office at (978) 406-4234. Our team is committed to providing timely, compassionate, and expert care for all pediatric injuries and sports-related concerns.
Comprehensive Nutrition Services
Supporting healthy growth through evidence-based nutrition care.
North Shore Pediatrics offers nutritional counseling services provided by Patricia Engel, M.S., R.D., a licensed Dietitian and Nutritional Consultant with extensive experience in pediatric nutrition. For your convenience, after-school and evening appointments are available on-site.
Why Nutrition Matters
Proper nutrition is essential for every stage of childhood. Balanced eating habits support:
- Healthy growth and development
- Strong immune function
- Optimal academic focus and energy
- Long-term prevention of chronic disease
Establishing sound nutritional habits early helps children develop a positive relationship with food and a strong foundation for lifelong wellness.
What to Expect
During a nutritional counseling session, Patricia conducts a thorough evaluation of your child’s dietary habits, medical history, growth patterns, and lifestyle.
Based on this assessment, she creates an individualized plan that may include:
- Age-appropriate meal and snack recommendations
- Portion guidance and balanced meal planning
- Strategies for addressing selective or picky eating
- Support for food allergies, intolerances, or gastrointestinal issues
- Weight management and sports nutrition counseling
Our Approach
Pat's approach combines evidence-based practice with practical strategies tailored to each family’s needs. Counseling focuses on realistic, sustainable goals and encourages positive mealtime behaviors. Parents are guided on how to foster healthy eating patterns and model good nutrition at home.
The Goal
Our goal is to empower families with knowledge, confidence, and tools to make informed food choices that promote lasting health and well-being. Through collaborative guidance and continued support, children can achieve nutritional balance and thrive—both physically and emotionally.
Clinical and Wellness Services
Comprehensive pediatric care—from preventive health to specialized procedures.
At North Shore Pediatrics, we are committed to providing complete, family-centered medical care. In addition to well and sick visits, our office performs a wide range of in-office procedures and wellness services designed to support your child’s health, growth, and development in one convenient location.
In-Office Medical Procedures
Our clinical team is trained and equipped to perform numerous medical procedures safely and comfortably within our office, including:
• Suture placement and removal
• Wart removal (cryotherapy/freezing)
• Ear lavage (earwax removal)
• Umbilical cauterization
• Wound care and dressing changes
• Bladder catheterization
• Incision and drainage of minor abscesses
• Pulmonary function testing
• Peak flow meter testing
• Vision and hearing screening
• Vaccine and medication administration
• Lead and hemoglobin screening
• PPD placement and interpretation (tuberculosis testing)
• Nursemaid’s elbow reduction
• Splinting or bracing of appropriate injuries
Wellness and Preventive Care
Our goal is to help children maintain optimal health through preventive care and early intervention. We offer services such as:
• Routine physical examinations and developmental assessments
• Immunizations and vaccine counseling
• School, camp, and sports physicals
• Growth, nutrition, and wellness monitoring
Specialized Support Services
In addition to primary care, we proudly offer on-site access to specialized wellness services for our patients.
Concierge Physical Therapy
Our concierge physical therapy program offers individualized, one-on-one physical therapy sessions designed specifically for children and adolescents. Treatment focuses on injury prevention, recovery from sports or orthopedic conditions, and improving strength, flexibility, balance, and overall physical function—all in a familiar, child-friendly environment.
Nutritional Counseling
Led by Patricia Engel, M.S., R.D., a licensed Dietitian and Nutritional Consultant, this service provides comprehensive dietary guidance tailored to children’s needs. Whether addressing selective eating, food allergies, gastrointestinal issues, or healthy weight management, families receive evidence-based support to promote lifelong healthy eating habits.
Our Commitment
North Shore Pediatrics is dedicated to delivering comprehensive, coordinated care that supports every aspect of a child’s health. By offering expanded in-office and specialty services, we ensure that families can access high-quality medical care and trusted guidance within one integrated pediatric setting.