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Dedham Medical Associate

Diagnostic Radiology Physician in Dedham, MA · enumerated 2006 · authorized official Richard Russo, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063430643

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Registry record

Entity type Organization (Type 2)
Legal business name Dedham Medical Associate
Practice address 1 Lyons Street, Dedham, MA, 02026
Fax (781) 278-5667
Enumeration date Jul 18, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Richard Russo
Title Cfo

Other identifiers

Identifier Type State Issuer
9766596 Medicaid MA
9766545 Medicaid MA
9766529 Medicaid MA
9766588 Medicaid MA
9766626 Medicaid MA
9766537 Medicaid MA
9766561 Medicaid MA
9766618 Medicaid MA
M12735 Medicaid MA
9766553 Medicaid MA
9766634 Medicaid MA
M11531 Medicaid MA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Dedham Medical Associate?
Dedham Medical Associate is registered in NPPES as a Diagnostic Radiology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.