DEDHAM MEDICAL ASSOC INC
NPI 1881694958
Nurse Practitioner 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: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Dedham Medical Assoc Inc NPPES

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

DEDHAM MEDICAL ASSOC INC (NPI 1881694958) is a healthcare organization registered as a nurse practitioner 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

NPI1881694958
Entity TypeOrganization
Primary Taxonomy363L00000X
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) 278-5540
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1881694958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 LYONS ST, Dedham, MA 02026

Other Identifiers 11

Medicaid9766529MA
Medicaid9766537MA
Medicaid9766545MA
Medicaid9766618MA
Medicaid9766561MA
Medicaid9766596MA
Medicaid9766626MA
Medicaid9766553MA
Medicaid9766588MA
Medicaid9766454MA
Medicaid9766634MA

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 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 1881694958. 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 Nurse Practitioner with taxonomy code 363L00000X.

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 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.