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DEDHAM MEDICAL ASSOCIATE
NPI 1063430643
Radiology - Diagnostic Radiology in Dedham, MA

Active since July 18, 2006
1 LYONS STREET, DEDHAM, MA 02026(781) 329-1400(781) 278-5667 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Dedham Medical Associate NPPES

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

DEDHAM MEDICAL ASSOCIATE (NPI 1063430643) is a healthcare organization registered as a diagnostic radiology in Dedham, Massachusetts and active in the NPI registry since July 2006. The organization lists Richard M Russo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063430643
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDEDHAM MEDICAL ASSOCIATE
Location Address1 LYONS STREETDedham, MA 02026
Mailing AddressPo Box 9120Dedham, MA 02027-9120 · (781) 329-1400 · Fax (781) 278-5667
Phone(781) 329-1400
Fax(781) 278-5667
Organization SubpartNo
Authorized OfficialRichard M RussoCfo · (781) 278-5540
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1063430643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1 LYONS STREET, Dedham, MA 02026
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Other Identifiers 12

Medicaid9766618MA
Medicaid9766553MA
Medicaid9766537MA
Medicaid9766545MA
Medicaid9766588MA
Medicaid9766529MA
Medicaid9766561MA
MedicaidM12735MA
Medicaid9766626MA
Medicaid9766634MA
MedicaidM11531MA
Medicaid9766596MA

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 2

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

MICHAEL J MALONE M.D.
Urology
1 LYONS STREET, DEDHAM MEDICAL ASSOCIATES
DEDHAM, MA 02026
Norfolk County (781) 329-1400
MRS. LINDA MARILYN FARRELL CPNP
Nurse Practitioner (Pediatrics)
1 LYONS STREET, DEDHAM MEDICAL ASSOCIATES
DEDHAM, MA 02026
Norfolk County (781) 329-1400

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 Dedham Medical Associate's NPI number?

The NPI number for Dedham Medical Associate is 1063430643. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Dedham Medical Associate located?

Dedham Medical Associate is located at 1 Lyons Street, Dedham, MA 02026. The listed phone number is (781) 329-1400.

What is Dedham Medical Associate's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Dedham Medical Associate was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.