DEDHAM MEDICAL ASSOC INC
NPI 1184624256
Internal Medicine - Endocrinology, Diabetes & Metabolism in Dedham, MA

Active since July 29, 2005
1 LYONS ST, 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: July 26, 2026.

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

About Dedham Medical Assoc Inc NPPES

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

DEDHAM MEDICAL ASSOC INC (NPI 1184624256) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Dedham, Massachusetts and active in the NPI registry since July 2005. The organization lists Richard M Russo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184624256
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameDEDHAM MEDICAL ASSOC INC
Location Address1 LYONS STDedham, MA 02026-5599
Mailing AddressPo Box 9120Dedham, MA 02027-9120 · (781) 329-1400 · Fax (781) 278-5667
Fax(781) 278-5667
Organization SubpartNo
Authorized OfficialRichard M RussoCfo · (781) 927-8554
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1184624256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1 LYONS ST, Dedham, MA 02026

Other Identifiers 10

Medicaid9766529MA
Medicaid9766537MA
Medicaid9766553MA
Medicaid9766588MA
Medicaid9766596MA
Medicaid9766561MA
Medicaid9766626MA
Medicaid9766634MA
Medicaid9766545MA
Medicaid9766618MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Nurse Practitioner (Family)
1 LYONS ST
DEDHAM, MA 02026
Internal Medicine
1 LYONS ST
DEDHAM, MA 02026
Clinic/Center (Multi-Specialty)
1 LYONS ST
DEDHAM, MA 02026
Advanced Practice Midwife
1 LYONS ST
DEDHAM, MA 02026
Obstetrics & Gynecology
1 LYONS ST
DEDHAM, MA 02026
Advanced Practice Midwife
1 LYONS ST
DEDHAM, MA 02026
Pediatrics
1 LYONS ST
DEDHAM, MA 02026
Internal Medicine
1 LYONS ST
DEDHAM, MA 02026

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 Assoc Inc's NPI number?

The NPI number for Dedham Medical Assoc Inc is 1184624256. It was assigned to this organization in the NPPES registry on July 29, 2005.

Where is Dedham Medical Assoc Inc located?

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

What is Dedham Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

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